Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $221.35 / $491.62	Facility		$46.07	$221.35	$491.62
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.46 / $9.91 / $18.01	Facility	26	$7.46	$9.91	$18.01
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.88 / $69.98 / $317.87	Facility	TC	$22.88	$69.98	$317.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $30.71 / $79.73	Professional		$17.80	$30.71	$79.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.97 / $9.44 / $33.60	Professional	26	$6.97	$9.44	$33.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $47.87 / $69.80 / $112.63	Professional	50	$47.87	$69.80	$112.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.98 / $22.29 / $43.70	Professional	TC	$17.98	$22.29	$43.70
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 $8.94 / $8.94 / $8.94	Facility	26	$8.94	$8.94	$8.94
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $18.22 / $18.22 / $18.22	Facility	TC	$18.22	$18.22	$18.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $32.86 / $54.26	Professional		$25.62	$32.86	$54.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.44 / $10.50 / $15.55	Professional	26	$7.44	$10.50	$15.55
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $38.07 / $46.51 / $76.95	Professional	50	$38.07	$46.51	$76.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.02 / $24.27 / $39.47	Professional	TC	$18.02	$24.27	$39.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $90.84 / $209.10	Facility		$38.54	$90.84	$209.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $24.24 / $24.24 / $24.24	Facility	TC	$24.24	$24.24	$24.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $37.61 / $62.96	Professional		$25.15	$37.61	$62.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.06 / $11.09 / $17.93	Professional	26	$7.06	$11.09	$17.93
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $36.49 / $36.49 / $41.33	Professional	50	$36.49	$36.49	$41.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.96 / $26.02 / $45.30	Professional	TC	$17.96	$26.02	$45.30
United Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $144.90 / $182.03	Facility		$81.70	$144.90	$182.03
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $32.15 / $65.34	Professional		$26.10	$32.15	$65.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.43 / $9.76 / $16.64	Professional	26	$7.43	$9.76	$16.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.67 / $22.60 / $39.29	Professional	TC	$17.67	$22.60	$39.29