Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $234.42 / $338.84	Facility		$177.83	$234.42	$338.84
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $40.74 / $40.74	Facility	26	$40.74	$40.74	$40.74
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $234.42 / $263.03 / $467.74	Facility	TC	$234.42	$263.03	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $31.62 / $95.50	Professional		$8.71	$31.62	$95.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $15.85 / $42.66	Professional	26	$7.94	$15.85	$42.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $33.88 / $77.62 / $186.21	Professional	50	$33.88	$77.62	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $37.15 / $83.18	Professional	TC	$17.78	$37.15	$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 $30.90 / $40.74 / $70.79	Professional		$30.90	$40.74	$70.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $10.23 / $17.38	Professional	26	$7.24	$10.23	$17.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $29.51 / $40.74	Professional	TC	$21.38	$29.51	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $173.78 / $302.00	Facility		$114.82	$173.78	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $48.98 / $70.79	Professional		$28.18	$48.98	$70.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $15.49 / $18.20	Professional	26	$7.08	$15.49	$18.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $45.71 / $57.54	Professional	TC	$20.42	$45.71	$57.54
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 / $38.02 / $57.54	Professional		$27.54	$38.02	$57.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.23 / $16.60	Professional	26	$7.94	$10.23	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $28.18 / $48.98	Professional	TC	$19.50	$28.18	$48.98