Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $309.03 / $489.78	Facility		$45.71	$309.03	$489.78
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $7.59 / $7.59	Facility	26	$7.59	$7.59	$7.59
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $245.47 / $288.40 / $331.13	Facility	TC	$245.47	$288.40	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $30.20 / $60.26	Professional		$7.76	$30.20	$60.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $15.49 / $19.95	Professional	26	$7.08	$15.49	$19.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $33.11 / $33.11 / $33.11	Professional	50	$33.11	$33.11	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $33.88 / $52.48	Professional	TC	$19.05	$33.88	$52.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $117.49 / $117.49	Professional		$75.86	$117.49	$117.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $30.90 / $30.90	Professional	26	$19.95	$30.90	$30.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $85.11 / $85.11	Professional	TC	$56.23	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $46.77 / $77.62	Professional		$26.92	$46.77	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $12.88 / $23.99	Professional	26	$8.51	$12.88	$23.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $33.88 / $56.23	Professional	TC	$18.20	$33.88	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $51.29 / $87.10	Professional		$28.18	$51.29	$87.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $14.79 / $25.70	Professional	26	$7.76	$14.79	$25.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $35.48 / $61.66	Professional	TC	$19.95	$35.48	$61.66