Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $48.98 / $100.00	Facility		$20.89	$48.98	$100.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.22 / $30.20 / $30.20	Facility	26	$16.22	$30.20	$30.20
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $10.72 / $19.50 / $33.11	Facility	TC	$10.72	$19.50	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $52.48 / $147.91	Professional		$14.13	$52.48	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $28.18 / $75.86	Professional	26	$12.02	$28.18	$75.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.01 / $13.49 / $23.99	Professional	TC	$5.01	$13.49	$23.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $21.88	Facility		$19.50	$19.50	$21.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.42 / $28.84	Professional		$14.13	$20.42	$28.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $12.02 / $16.98	Professional	26	$8.32	$12.02	$16.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $5.89 / $6.31 / $8.32	Professional	TC	$5.89	$6.31	$8.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $25.70 / $36.31	Professional		$10.96	$25.70	$36.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $17.38 / $21.38	Professional	26	$6.46	$17.38	$21.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $4.47 / $9.33 / $14.79	Professional	TC	$4.47	$9.33	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $22.91 / $34.67	Professional		$8.51	$22.91	$34.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $13.49 / $20.42	Professional	26	$6.17	$13.49	$20.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.63 / $9.33 / $14.45	Professional	TC	$2.63	$9.33	$14.45