Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.09 / $143.02 / $337.30	Facility		$56.09	$143.02	$337.30
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.36 / $12.66 / $16.67	Facility	26	$10.36	$12.66	$16.67
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $55.21 / $76.85 / $87.07	Facility	TC	$55.21	$76.85	$87.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $44.11 / $105.38	Professional		$30.78	$44.11	$105.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.56 / $13.28 / $52.70	Professional	26	$8.56	$13.28	$52.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.00 / $33.00 / $62.30	Professional	TC	$22.00	$33.00	$62.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.94 / $72.94 / $72.94	Facility		$72.94	$72.94	$72.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $48.74 / $102.25	Professional		$29.45	$48.74	$102.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.57 / $15.51 / $26.21	Professional	26	$10.57	$15.51	$26.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $35.31 / $69.83	Professional	TC	$20.42	$35.31	$69.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.04 / $67.09 / $94.66	Facility		$63.04	$67.09	$94.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.96 / $16.96 / $16.96	Facility	26	$16.96	$16.96	$16.96
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $77.70 / $77.70 / $77.70	Facility	TC	$77.70	$77.70	$77.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.84 / $40.02 / $87.33	Professional		$20.84	$40.02	$87.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $11.25 / $22.92	Professional	26	$5.37	$11.25	$22.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.06 / $28.87 / $63.62	Professional	TC	$15.06	$28.87	$63.62
United Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $105.00 / $105.00	Facility		$105.00	$105.00	$105.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $41.86 / $84.98	Professional		$25.12	$41.86	$84.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $11.48 / $22.19	Professional	26	$6.92	$11.48	$22.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.97 / $30.04 / $65.56	Professional	TC	$17.97	$30.04	$65.56