Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $198.34 / $403.85	Facility		$38.15	$198.34	$403.85
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.71 / $9.57 / $15.66	Facility	26	$7.71	$9.57	$15.66
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.52 / $69.22 / $349.61	Facility	TC	$22.52	$69.22	$349.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.79 / $30.31 / $79.28	Professional		$20.79	$30.31	$79.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $9.05 / $29.45	Professional	26	$6.74	$9.05	$29.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $82.72 / $103.54 / $117.56	Professional	50	$82.72	$103.54	$117.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.69 / $21.52 / $43.65	Professional	TC	$17.69	$21.52	$43.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.76 / $103.32 / $168.54	Facility		$54.76	$103.32	$168.54
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $8.58 / $8.58 / $8.58	Facility	26	$8.58	$8.58	$8.58
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $20.05 / $20.05 / $20.05	Facility	TC	$20.05	$20.05	$20.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $33.24 / $53.89	Professional		$25.62	$33.24	$53.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.70 / $10.00 / $15.63	Professional	26	$7.70	$10.00	$15.63
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $37.38 / $46.20 / $76.95	Professional	50	$37.38	$46.20	$76.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.11 / $24.00 / $39.39	Professional	TC	$18.11	$24.00	$39.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.17 / $92.62 / $209.10	Facility		$39.17	$92.62	$209.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.19	Facility	26	$9.19	$9.19	$9.19
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $23.86 / $23.86 / $23.86	Facility	TC	$23.86	$23.86	$23.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $38.13 / $62.32	Professional		$25.16	$38.13	$62.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.05 / $10.99 / $17.94	Professional	26	$7.05	$10.99	$17.94
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.11 / $35.11 / $39.76	Professional	50	$35.11	$35.11	$39.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.00 / $26.65 / $44.66	Professional	TC	$18.00	$26.65	$44.66
United Facility/Professional Facility Modifier Low / Median / High Price $33.69 / $38.54 / $159.62	Facility		$33.69	$38.54	$159.62
United Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $32.57 / $55.04	Professional		$25.81	$32.57	$55.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.22 / $9.68 / $16.45	Professional	26	$7.22	$9.68	$16.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.98 / $23.07 / $38.31	Professional	TC	$17.98	$23.07	$38.31