Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $239.88 / $575.44	Facility		$44.67	$239.88	$575.44
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.24 / $10.96 / $28.84	Facility	26	$7.24	$10.96	$28.84
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.12 / $100.00 / $446.68	Facility	TC	$25.12	$100.00	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $37.15 / $123.03	Professional		$11.22	$37.15	$123.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $13.80 / $41.69	Professional	26	$7.41	$13.80	$41.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $30.20 / $102.33 / $213.80	Professional	50	$30.20	$102.33	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $34.67 / $83.18	Professional	TC	$19.05	$34.67	$83.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $79.43 / $269.15	Facility		$30.20	$79.43	$269.15
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $9.33 / $9.33	Facility	26	$9.33	$9.33	$9.33
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $23.44 / $23.44 / $23.44	Facility	TC	$23.44	$23.44	$23.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.02 / $69.18	Professional		$26.92	$38.02	$69.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $10.96 / $19.05	Professional	26	$7.41	$10.96	$19.05
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $41.69 / $54.95 / $100.00	Professional	50	$41.69	$54.95	$100.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $27.54 / $51.29	Professional	TC	$20.42	$27.54	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $74.13 / $245.47	Facility		$33.11	$74.13	$245.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.04 / $10.96 / $26.30	Facility	26	$2.04	$10.96	$26.30
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $5.62 / $30.20 / $81.28	Facility	TC	$5.62	$30.20	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $43.65 / $89.13	Professional		$26.30	$43.65	$89.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $11.75 / $22.91	Professional	26	$6.92	$11.75	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $32.36 / $66.07	Professional	TC	$19.50	$32.36	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $104.71 / $251.19	Facility		$22.39	$104.71	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $34.67 / $63.10	Professional		$25.70	$34.67	$63.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.33 / $17.78	Professional	26	$7.08	$9.33	$17.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.12 / $45.71	Professional	TC	$19.05	$25.12	$45.71