Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $141.25 / $524.81	Facility		$37.15	$141.25	$524.81
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $15.14 / $44.67	Facility	26	$8.91	$15.14	$44.67
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $32.36 / $144.54 / $467.74	Facility	TC	$32.36	$144.54	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $58.88 / $234.42	Professional		$29.51	$58.88	$234.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $24.55 / $83.18	Professional	26	$8.91	$24.55	$83.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $36.31 / $123.03	Professional	TC	$20.89	$36.31	$123.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $48.98 / $120.23	Professional		$24.55	$48.98	$120.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.90 / $17.38 / $32.36	Professional	26	$4.90	$17.38	$32.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $33.88 / $89.13	Professional	TC	$19.05	$33.88	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $95.50 / $323.59	Facility		$39.81	$95.50	$323.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.69 / $14.13 / $21.38	Facility	26	$2.69	$14.13	$21.38
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $11.75 / $54.95 / $93.33	Facility	TC	$11.75	$54.95	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $42.66 / $100.00	Professional		$19.95	$42.66	$100.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.25 / $11.22 / $25.70	Professional	26	$5.25	$11.22	$25.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $29.51 / $74.13	Professional	TC	$14.45	$29.51	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $19.95 / $33.11	Facility		$7.76	$19.95	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $40.74 / $91.20	Professional		$23.99	$40.74	$91.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $10.96 / $23.99	Professional	26	$6.46	$10.96	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $30.20 / $69.18	Professional	TC	$16.98	$30.20	$69.18