Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $199.53 / $467.74	Facility		$36.31	$199.53	$467.74
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $10.47 / $26.92	Facility	26	$7.08	$10.47	$26.92
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.89 / $64.57 / $371.54	Facility	TC	$20.89	$64.57	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $33.88 / $102.33	Professional		$14.13	$33.88	$102.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $13.49 / $38.02	Professional	26	$7.08	$13.49	$38.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $34.67 / $109.65 / $158.49	Professional	50	$34.67	$109.65	$158.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $24.55 / $56.23	Professional	TC	$15.85	$24.55	$56.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $69.18 / $269.15	Facility		$26.30	$69.18	$269.15
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $8.51 / $8.51 / $8.51	Facility	26	$8.51	$8.51	$8.51
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $19.95 / $19.95 / $19.95	Facility	TC	$19.95	$19.95	$19.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.11 / $60.26	Professional		$24.55	$33.11	$60.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $10.00 / $17.38	Professional	26	$6.92	$10.00	$17.38
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $36.31 / $47.86 / $87.10	Professional	50	$36.31	$47.86	$87.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.44 / $43.65	Professional	TC	$16.98	$23.44	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $79.43 / $263.03	Facility		$32.36	$79.43	$263.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.95 / $10.47 / $25.12	Facility	26	$1.95	$10.47	$25.12
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $5.01 / $26.30 / $70.79	Facility	TC	$5.01	$26.30	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.02 / $75.86	Professional		$22.91	$38.02	$75.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $10.72 / $21.38	Professional	26	$6.46	$10.72	$21.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $27.54 / $57.54	Professional	TC	$16.60	$27.54	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $104.71 / $251.19	Facility		$19.50	$104.71	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $29.51 / $56.23	Professional		$22.91	$29.51	$56.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $8.71 / $16.60	Professional	26	$6.46	$8.71	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $21.38 / $40.74	Professional	TC	$15.85	$21.38	$40.74