Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $52.48 / $478.63	Facility		$36.31	$52.48	$478.63
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $25.70 / $25.70	Facility	26	$16.98	$25.70	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.11 / $63.10	Professional		$25.12	$33.11	$63.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.14 / $20.42	Professional	26	$12.02	$15.14	$20.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $15.85 / $33.11	Professional	TC	$12.02	$15.85	$33.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $147.91 / $263.03	Facility		$34.67	$147.91	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $43.65 / $89.13	Professional		$26.30	$43.65	$89.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $19.05 / $37.15	Professional	26	$13.49	$19.05	$37.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $24.55 / $53.70	Professional	TC	$14.13	$24.55	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $66.07 / $109.65	Facility		$34.67	$66.07	$109.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.80 / $20.42 / $39.81	Facility	26	$3.80	$20.42	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $46.77 / $95.50	Professional		$26.30	$46.77	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $20.42 / $41.69	Professional	26	$12.59	$20.42	$41.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $25.12 / $54.95	Professional	TC	$13.80	$25.12	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $28.18 / $165.96	Facility		$10.72	$28.18	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.31 / $63.10	Professional		$25.12	$36.31	$63.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $16.22 / $27.54	Professional	26	$11.75	$16.22	$27.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $19.05 / $36.31	Professional	TC	$13.18	$19.05	$36.31