Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.26 / $181.63 / $422.02	Facility		$40.26	$181.63	$422.02
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.79 / $9.77 / $14.91	Facility	26	$7.79	$9.77	$14.91
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.95 / $59.67 / $270.02	Facility	TC	$25.95	$59.67	$270.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.44 / $34.21 / $87.50	Professional		$22.44	$34.21	$87.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $9.07 / $31.72	Professional	26	$7.23	$9.07	$31.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $52.88 / $96.70 / $120.00	Professional	50	$52.88	$96.70	$120.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.41 / $16.10 / $29.70	Professional	52	$12.41	$16.10	$29.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.07 / $24.59 / $51.62	Professional	TC	$20.07	$24.59	$51.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.79 / $108.20 / $175.10	Facility		$54.79	$108.20	$175.10
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 $21.52 / $21.52 / $21.52	Facility	TC	$21.52	$21.52	$21.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.43 / $37.33 / $62.43	Professional		$28.43	$37.33	$62.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.90 / $16.19	Professional	26	$7.76	$10.90	$16.19
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $39.05 / $51.78 / $83.07	Professional	50	$39.05	$51.78	$83.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.68 / $26.54 / $46.60	Professional	TC	$20.68	$26.54	$46.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.54 / $102.63 / $211.12	Facility		$45.54	$102.63	$211.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.19	Facility	26	$9.19	$9.19	$9.19
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $29.08 / $29.08 / $29.08	Facility	TC	$29.08	$29.08	$29.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $40.93 / $72.87	Professional		$26.80	$40.93	$72.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.29 / $11.52 / $18.54	Professional	26	$7.29	$11.52	$18.54
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $41.47 / $41.47 / $47.09	Professional	50	$41.47	$41.47	$47.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $29.46 / $53.93	Professional	TC	$19.50	$29.46	$53.93
United Facility/Professional Facility Modifier Low / Median / High Price $109.30 / $149.63 / $261.86	Facility		$109.30	$149.63	$261.86
United Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $35.33 / $63.08	Professional		$26.75	$35.33	$63.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $9.59 / $17.01	Professional	26	$7.58	$9.59	$17.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.17 / $26.30 / $45.40	Professional	TC	$19.17	$26.30	$45.40