Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.72 / $290.85 / $709.53	Facility		$93.72	$290.85	$709.53
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.73 / $57.73 / $57.73	Facility	26	$57.73	$57.73	$57.73
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $290.85 / $308.00 / $596.82	Facility	TC	$290.85	$308.00	$596.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $45.15 / $126.83	Professional		$22.51	$45.15	$126.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.22 / $9.96 / $49.64	Professional	26	$7.22	$9.96	$49.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $90.30 / $90.30 / $90.30	Professional	50	$90.30	$90.30	$90.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.29 / $21.21 / $48.12	Professional	TC	$15.29	$21.21	$48.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.37 / $140.30 / $197.47	Facility		$93.37	$140.30	$197.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $43.44 / $62.98	Professional		$38.36	$43.44	$62.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.81 / $11.16 / $19.30	Professional	26	$7.81	$11.16	$19.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.60 / $32.28 / $32.50	Professional	TC	$22.60	$32.28	$32.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.65 / $173.34 / $304.72	Facility		$117.65	$173.34	$304.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $52.15 / $76.94	Professional		$30.02	$52.15	$76.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $13.48 / $19.30	Professional	26	$7.94	$13.48	$19.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.08 / $38.67 / $58.37	Professional	TC	$22.08	$38.67	$58.37
United Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $38.53 / $66.18	Professional		$26.79	$38.53	$66.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.26 / $12.05 / $17.25	Professional	26	$8.26	$12.05	$17.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $29.95 / $57.56	Professional	TC	$18.55	$29.95	$57.56