Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $251.19 / $645.65	Facility		$53.70	$251.19	$645.65
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $12.02 / $36.31	Facility	26	$7.94	$12.02	$36.31
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.92 / $147.91 / $549.54	Facility	TC	$26.92	$147.91	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $39.81 / $117.49	Professional		$9.55	$39.81	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $13.49 / $45.71	Professional	26	$8.13	$13.49	$45.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $30.20 / $79.43 / $194.98	Professional	50	$30.20	$79.43	$194.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $36.31 / $87.10	Professional	TC	$19.95	$36.31	$87.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $83.18 / $269.15	Facility		$27.54	$83.18	$269.15
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.00 / $10.00	Facility	26	$10.00	$10.00	$10.00
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 $27.54 / $38.02 / $70.79	Professional		$27.54	$38.02	$70.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.02 / $20.42	Professional	26	$7.94	$12.02	$20.42
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $41.69 / $56.23 / $104.71	Professional	50	$41.69	$56.23	$104.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $26.92 / $51.29	Professional	TC	$18.62	$26.92	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $89.13 / $269.15	Facility		$34.67	$89.13	$269.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.19 / $11.75 / $28.18	Facility	26	$2.19	$11.75	$28.18
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $6.03 / $31.62 / $87.10	Facility	TC	$6.03	$31.62	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $42.66 / $87.10	Professional		$25.12	$42.66	$87.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $12.88 / $25.12	Professional	26	$7.59	$12.88	$25.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $30.90 / $67.61	Professional	TC	$18.62	$30.90	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $104.71 / $251.19	Facility		$22.39	$104.71	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $64.57	Professional		$25.70	$33.88	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.00 / $19.05	Professional	26	$7.76	$10.00	$19.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $23.99 / $46.77	Professional	TC	$18.20	$23.99	$46.77