Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.96 / $269.06 / $609.84	Facility		$58.96	$269.06	$609.84
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.75 / $11.75 / $33.25	Facility	26	$8.75	$11.75	$33.25
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.76 / $227.28 / $538.96	Facility	TC	$28.76	$227.28	$538.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $37.38 / $112.26	Professional		$16.57	$37.38	$112.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.17 / $10.32 / $40.99	Professional	26	$8.17	$10.32	$40.99
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.27 / $71.06 / $115.00	Professional	50	$19.27	$71.06	$115.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $25.93 / $72.64	Professional	TC	$19.14	$25.93	$72.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.36 / $115.89 / $181.58	Facility		$60.36	$115.89	$181.58
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $10.02 / $10.02 / $10.02	Facility	26	$10.02	$10.02	$10.02
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $20.42 / $20.42 / $20.42	Facility	TC	$20.42	$20.42	$20.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.39 / $39.94 / $68.30	Professional		$29.39	$39.94	$68.30
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.73 / $11.90 / $18.21	Professional	26	$8.73	$11.90	$18.21
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $42.63 / $57.88 / $88.64	Professional	50	$42.63	$57.88	$88.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.07 / $27.78 / $50.60	Professional	TC	$20.07	$27.78	$50.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.24 / $101.51 / $211.12	Facility		$44.24	$101.51	$211.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.36 / $10.36 / $10.36	Facility	26	$10.36	$10.36	$10.36
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $29.08 / $29.08 / $29.08	Facility	TC	$29.08	$29.08	$29.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $42.21 / $71.45	Professional		$27.43	$42.21	$71.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.21 / $12.93 / $20.83	Professional	26	$8.21	$12.93	$20.83
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $39.20 / $39.20 / $44.46	Professional	50	$39.20	$39.20	$44.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.67 / $28.84 / $52.12	Professional	TC	$19.67	$28.84	$52.12
United Facility/Professional Facility Modifier Low / Median / High Price $109.88 / $176.41 / $288.64	Facility		$109.88	$176.41	$288.64
United Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $36.92 / $63.57	Professional		$29.00	$36.92	$63.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.59 / $10.99 / $19.07	Professional	26	$8.59	$10.99	$19.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.71 / $25.80 / $44.88	Professional	TC	$19.71	$25.80	$44.88