Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $190.55 / $389.05	Facility		$117.49	$190.55	$389.05
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	26	$39.81	$39.81	$39.81
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $100.00 / $131.83 / $131.83	Facility	TC	$100.00	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $26.30 / $83.18	Professional		$8.71	$26.30	$83.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $14.13 / $38.90	Professional	26	$7.24	$14.13	$38.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $16.98 / $52.48 / $190.55	Professional	50	$16.98	$52.48	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $22.91 / $60.26	Professional	TC	$13.80	$22.91	$60.26
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 $27.54 / $36.31 / $60.26	Professional		$27.54	$36.31	$60.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $9.55 / $16.60	Professional	26	$6.61	$9.55	$16.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $26.92 / $36.31	Professional	TC	$19.05	$26.92	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $173.78 / $302.00	Facility		$104.71	$173.78	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $43.65 / $60.26	Professional		$23.44	$43.65	$60.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $14.13 / $17.78	Professional	26	$6.46	$14.13	$17.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $36.31 / $51.29	Professional	TC	$15.85	$36.31	$51.29
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 $23.99 / $33.11 / $51.29	Professional		$23.99	$33.11	$51.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $9.55 / $15.49	Professional	26	$7.24	$9.55	$15.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $25.70 / $42.66	Professional	TC	$16.98	$25.70	$42.66