Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $89.13 / $407.38	Facility		$26.92	$89.13	$407.38
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.50 / $9.77 / $27.54	Facility	26	$5.50	$9.77	$27.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $44.67 / $114.82	Professional		$20.89	$44.67	$114.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $14.79 / $45.71	Professional	26	$5.01	$14.79	$45.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $26.30 / $69.18	Professional	TC	$15.85	$26.30	$69.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $38.02 / $91.20	Professional		$22.39	$38.02	$91.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $10.72 / $19.95	Professional	26	$3.02	$10.72	$19.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.13 / $28.18 / $72.44	Professional	TC	$8.13	$28.18	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $64.57 / $120.23	Facility		$22.91	$64.57	$120.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.62 / $8.71 / $12.88	Facility	26	$1.62	$8.71	$12.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $31.62 / $74.13	Professional		$15.14	$31.62	$74.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.24 / $6.76 / $15.14	Professional	26	$3.24	$6.76	$15.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $25.12 / $63.10	Professional	TC	$11.75	$25.12	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $15.14 / $25.12	Facility		$4.17	$15.14	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $31.62 / $70.79	Professional		$17.78	$31.62	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.89 / $6.61 / $14.45	Professional	26	$3.89	$6.61	$14.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $23.99 / $56.23	Professional	TC	$13.80	$23.99	$56.23