Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $107.15 / $549.54	Facility		$38.02	$107.15	$549.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $26.30 / $26.30	Facility	26	$14.45	$26.30	$26.30
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $43.65 / $79.43 / $251.19	Facility	TC	$43.65	$79.43	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $151.36 / $446.68	Professional		$42.66	$151.36	$446.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $36.31 / $97.72	Professional	26	$11.48	$36.31	$97.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $64.57 / $199.53	Professional	TC	$26.92	$64.57	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $47.86	Facility		$42.66	$42.66	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $58.88	Professional		$30.20	$42.66	$58.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.96 / $15.49	Professional	26	$7.59	$10.96	$15.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $23.99 / $31.62	Professional	TC	$22.39	$23.99	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $75.86	Professional		$20.42	$25.70	$75.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $15.85 / $19.50	Professional	26	$5.89	$15.85	$19.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $39.81 / $57.54	Professional	TC	$16.22	$39.81	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $43.65 / $64.57	Professional		$26.92	$43.65	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $12.30 / $18.62	Professional	26	$5.62	$12.30	$18.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $33.88 / $50.12	Professional	TC	$20.89	$33.88	$50.12