Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $112.20 / $549.54	Facility		$44.67	$112.20	$549.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $45.71 / $123.03	Facility	26	$25.12	$45.71	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $45.71 / $123.03	Professional		$33.88	$45.71	$123.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $74.13 / $407.38	Professional	26	$22.91	$74.13	$407.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $19.05 / $40.74	Professional	TC	$10.96	$19.05	$40.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $38.02	Facility		$15.85	$15.85	$38.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $47.86 / $112.20	Professional		$21.88	$47.86	$112.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $34.67 / $74.13	Professional	26	$13.18	$34.67	$74.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.71 / $12.30 / $44.67	Professional	TC	$8.71	$12.30	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $54.95 / $194.98	Facility		$38.90	$54.95	$194.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.24 / $38.02 / $57.54	Facility	26	$7.24	$38.02	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $45.71 / $97.72	Professional		$21.38	$45.71	$97.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $30.20 / $63.10	Professional	26	$14.13	$30.20	$63.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $5.75 / $14.13 / $41.69	Professional	TC	$5.75	$14.13	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $25.70 / $42.66	Facility		$14.45	$25.70	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $44.67 / $104.71	Professional		$25.70	$44.67	$104.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $29.51 / $64.57	Professional	26	$17.38	$29.51	$64.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $7.41 / $16.60 / $43.65	Professional	TC	$7.41	$16.60	$43.65