Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.79 / $192.25 / $336.52	Facility		$116.79	$192.25	$336.52
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $51.29 / $51.29	Facility	26	$51.29	$51.29	$51.29
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $123.97 / $130.26 / $132.60	Facility	TC	$123.97	$130.26	$132.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $28.12 / $116.06	Professional		$17.30	$28.12	$116.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.26 / $7.93 / $34.00	Professional	26	$6.26	$7.93	$34.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $200.00 / $200.00 / $200.00	Professional	50	$200.00	$200.00	$200.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.84 / $20.19 / $22.29	Professional	TC	$13.84	$20.19	$22.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.37 / $140.30 / $197.47	Facility		$93.37	$140.30	$197.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.39 / $36.72 / $56.81	Professional		$32.39	$36.72	$56.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.65 / $9.50 / $15.82	Professional	26	$6.65	$9.50	$15.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $27.23 / $27.36	Professional	TC	$19.05	$27.23	$27.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.90 / $173.34 / $304.72	Facility		$99.90	$173.34	$304.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.57 / $44.02 / $64.95	Professional		$26.57	$44.02	$64.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.77 / $11.47 / $17.16	Professional	26	$6.77	$11.47	$17.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.39 / $32.56 / $49.24	Professional	TC	$18.39	$32.56	$49.24
United Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $36.28 / $76.89	Professional		$24.23	$36.28	$76.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.94 / $10.70 / $16.48	Professional	26	$6.94	$10.70	$16.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.29 / $25.87 / $49.91	Professional	TC	$17.29	$25.87	$49.91