Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.56 / $242.58 / $510.00	Facility		$48.56	$242.58	$510.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.08 / $10.94 / $16.80	Facility	26	$8.08	$10.94	$16.80
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.69 / $159.88 / $387.56	Facility	TC	$26.69	$159.88	$387.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $35.44 / $111.52	Professional		$17.98	$35.44	$111.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $9.82 / $34.61	Professional	26	$7.33	$9.82	$34.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.19 / $79.14 / $119.13	Professional	50	$69.19	$79.14	$119.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.81 / $26.63 / $58.57	Professional	TC	$20.81	$26.63	$58.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.71 / $125.86 / $188.37	Facility		$60.71	$125.86	$188.37
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $23.35 / $23.35 / $23.35	Facility	TC	$23.35	$23.35	$23.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.37 / $37.49 / $64.37	Professional		$29.37	$37.49	$64.37
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $11.39 / $16.86	Professional	26	$8.09	$11.39	$16.86
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $43.31 / $53.76 / $88.27	Professional	50	$43.31	$53.76	$88.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.18 / $27.95 / $47.63	Professional	TC	$21.18	$27.95	$47.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.47 / $103.31 / $210.26	Facility		$46.47	$103.31	$210.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $9.61	Facility	26	$9.61	$9.61	$9.61
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $27.59 / $27.59 / $27.59	Facility	TC	$27.59	$27.59	$27.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.44 / $44.00 / $70.78	Professional		$29.44	$44.00	$70.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $11.92 / $19.27	Professional	26	$7.59	$11.92	$19.27
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.75 / $38.75 / $43.94	Professional	50	$38.75	$38.75	$43.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.95 / $31.66 / $51.57	Professional	TC	$20.95	$31.66	$51.57
United Facility/Professional Facility Modifier Low / Median / High Price $66.83 / $134.51 / $134.51	Facility		$66.83	$134.51	$134.51
United Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $35.64 / $60.84	Professional		$28.96	$35.64	$60.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.00 / $10.05 / $17.52	Professional	26	$8.00	$10.05	$17.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.44 / $26.21 / $44.66	Professional	TC	$20.44	$26.21	$44.66