Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $229.09 / $549.54	Facility		$39.81	$229.09	$549.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.76 / $10.00 / $24.55	Facility	26	$6.76	$10.00	$24.55
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.38 / $75.86 / $407.38	Facility	TC	$21.38	$75.86	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $32.36 / $97.72	Professional		$10.96	$32.36	$97.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $13.18 / $39.81	Professional	26	$7.08	$13.18	$39.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $16.98 / $79.43 / $251.19	Professional	50	$16.98	$79.43	$251.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $26.30 / $61.66	Professional	TC	$16.98	$26.30	$61.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $70.79 / $269.15	Facility		$25.12	$70.79	$269.15
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $8.91 / $8.91	Facility	26	$8.91	$8.91	$8.91
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $18.20 / $18.20 / $18.20	Facility	TC	$18.20	$18.20	$18.20
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 $6.76 / $10.47 / $17.78	Professional	26	$6.76	$10.47	$17.78
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $37.15 / $47.86 / $89.13	Professional	50	$37.15	$47.86	$89.13
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 $31.62 / $79.43 / $263.03	Facility		$31.62	$79.43	$263.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.86 / $10.00 / $23.99	Facility	26	$1.86	$10.00	$23.99
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $5.01 / $26.92 / $72.44	Facility	TC	$5.01	$26.92	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.02 / $74.13	Professional		$22.91	$38.02	$74.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $10.96 / $21.38	Professional	26	$6.46	$10.96	$21.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $26.92 / $58.88	Professional	TC	$16.22	$26.92	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $104.71 / $251.19	Facility		$19.95	$104.71	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $29.51 / $57.54	Professional		$22.39	$29.51	$57.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $8.71 / $16.60	Professional	26	$6.61	$8.71	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $20.89 / $40.74	Professional	TC	$15.85	$20.89	$40.74