Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.80 / $64.65 / $115.06	Facility		$50.80	$64.65	$115.06
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.93 / $33.74 / $33.74	Facility	26	$29.93	$33.74	$33.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.84 / $42.41 / $84.43	Professional		$34.84	$42.41	$84.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.78 / $28.31 / $94.67	Professional	26	$22.78	$28.31	$94.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.11 / $17.58 / $29.01	Professional	TC	$10.11	$17.58	$29.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.27 / $26.27 / $26.27	Facility		$26.27	$26.27	$26.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $53.80 / $99.36	Professional		$21.74	$53.80	$99.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.10 / $36.62 / $61.54	Professional	26	$13.10	$36.62	$61.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.64 / $13.98 / $39.59	Professional	TC	$8.64	$13.98	$39.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.14 / $52.81 / $84.92	Facility		$52.14	$52.81	$84.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.70 / $45.70 / $45.70	Facility	26	$45.70	$45.70	$45.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.78 / $46.13 / $90.56	Professional		$22.78	$46.13	$90.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.64 / $29.85 / $59.49	Professional	26	$14.64	$29.85	$59.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $6.52 / $12.68 / $36.18	Professional	TC	$6.52	$12.68	$36.18
United Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $42.00 / $42.00	Facility		$42.00	$42.00	$42.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $52.04 / $96.08	Professional		$30.72	$52.04	$96.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.79 / $31.17 / $63.40	Professional	26	$18.79	$31.17	$63.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.44 / $16.64 / $38.14	Professional	TC	$9.44	$16.64	$38.14