Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $75.86 / $141.25	Facility		$41.69	$75.86	$141.25
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.12 / $16.98 / $16.98	Facility	26	$9.12	$16.98	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $64.57 / $186.21	Professional		$25.12	$64.57	$186.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $21.38 / $42.66	Professional	26	$8.91	$21.38	$42.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $42.66 / $165.96	Professional	TC	$19.95	$42.66	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $33.88	Facility		$30.20	$30.20	$33.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $44.67	Professional		$23.44	$33.11	$44.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.57 / $6.61 / $9.33	Professional	26	$4.57	$6.61	$9.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $19.95 / $26.92	Professional	TC	$18.62	$19.95	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $42.66 / $72.44	Professional		$16.60	$42.66	$72.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.55 / $9.77 / $12.02	Professional	26	$3.55	$9.77	$12.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $33.11 / $64.57	Professional	TC	$13.18	$33.11	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.11 / $52.48	Professional		$19.95	$33.11	$52.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.47 / $7.41 / $11.48	Professional	26	$3.47	$7.41	$11.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $27.54 / $40.74	Professional	TC	$16.60	$27.54	$40.74