Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $275.42 / $467.74	Facility		$117.49	$275.42	$467.74
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $50.12 / $50.12	Facility	26	$50.12	$50.12	$50.12
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $288.40 / $467.74 / $616.60	Facility	TC	$288.40	$467.74	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $33.88 / $95.50	Professional		$9.12	$33.88	$95.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $12.59 / $50.12	Professional	26	$8.51	$12.59	$50.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.48 / $79.43 / $177.83	Professional	50	$35.48	$79.43	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $33.88 / $83.18	Professional	TC	$16.98	$33.88	$83.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $138.04 / $194.98	Facility		$93.33	$138.04	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $43.65 / $66.07	Professional		$32.36	$43.65	$66.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $11.22 / $20.42	Professional	26	$7.76	$11.22	$20.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $31.62 / $42.66	Professional	TC	$22.39	$31.62	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $173.78 / $302.00	Facility		$123.03	$173.78	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $52.48 / $72.44	Professional		$26.30	$52.48	$72.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $16.60 / $19.95	Professional	26	$7.94	$16.60	$19.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $39.81 / $61.66	Professional	TC	$17.38	$39.81	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $37.15 / $61.66	Professional		$27.54	$37.15	$61.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $10.96 / $18.20	Professional	26	$8.32	$10.96	$18.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $29.51 / $53.70	Professional	TC	$19.50	$29.51	$53.70