Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $41.69 / $95.50	Facility		$13.49	$41.69	$95.50
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $17.78 / $48.98	Facility	26	$10.47	$17.78	$48.98
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $6.92 / $25.70 / $95.50	Facility	TC	$6.92	$25.70	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $19.50 / $53.70	Professional		$13.80	$19.50	$53.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $25.12 / $79.43	Professional	26	$8.91	$25.12	$79.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.01 / $7.08 / $22.39	Professional	TC	$5.01	$7.08	$22.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Facility		$6.46	$6.46	$6.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $18.62 / $45.71	Professional		$9.12	$18.62	$45.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $12.88 / $28.84	Professional	26	$5.37	$12.88	$28.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.16 / $5.13 / $16.98	Professional	TC	$3.16	$5.13	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $20.89 / $72.44	Facility		$15.85	$20.89	$72.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.16 / $16.22 / $25.12	Facility	26	$3.16	$16.22	$25.12
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $2.00 / $10.72 / $19.50	Facility	TC	$2.00	$10.72	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $19.05 / $38.90	Professional		$9.33	$19.05	$38.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $12.02 / $25.12	Professional	26	$5.75	$12.02	$25.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.31 / $6.31 / $15.85	Professional	TC	$3.31	$6.31	$15.85
United Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $10.96 / $18.20	Facility		$4.90	$10.96	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $19.50 / $43.65	Professional		$11.22	$19.50	$43.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $12.02 / $25.70	Professional	26	$6.92	$12.02	$25.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.27 / $7.24 / $17.38	Professional	TC	$4.27	$7.24	$17.38