Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.62 / $86.85 / $215.88	Facility		$47.62	$86.85	$215.88
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.19 / $6.95 / $9.36	Facility	26	$6.19	$6.95	$9.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.76 / $35.58 / $66.04	Professional		$23.76	$35.58	$66.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.26 / $7.35 / $25.01	Professional	26	$5.26	$7.35	$25.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.53 / $27.50 / $53.33	Professional	TC	$18.53	$27.50	$53.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.10 / $47.10 / $47.10	Facility		$47.10	$47.10	$47.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $38.20 / $71.20	Professional		$22.92	$38.20	$71.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.13 / $9.25 / $16.13	Professional	26	$6.13	$9.25	$16.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.73 / $30.38 / $54.86	Professional	TC	$19.73	$30.38	$54.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.73 / $55.66 / $74.45	Facility		$51.73	$55.66	$74.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.31 / $9.31 / $9.31	Facility	26	$9.31	$9.31	$9.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $31.38 / $69.53	Professional		$15.85	$31.38	$69.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.26 / $6.81 / $14.24	Professional	26	$3.26	$6.81	$14.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.35 / $25.18 / $54.87	Professional	TC	$12.35	$25.18	$54.87
United Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Facility		$60.00	$60.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $31.40 / $65.95	Professional		$18.84	$31.40	$65.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.07 / $6.76 / $14.02	Professional	26	$4.07	$6.76	$14.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.51 / $24.22 / $52.22	Professional	TC	$14.51	$24.22	$52.22