Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $186.21 / $478.63	Facility		$39.81	$186.21	$478.63
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $10.96 / $30.20	Facility	26	$7.08	$10.96	$30.20
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.12 / $75.86 / $346.74	Facility	TC	$25.12	$75.86	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $38.02 / $117.49	Professional		$16.60	$38.02	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $14.45 / $40.74	Professional	26	$7.08	$14.45	$40.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.48 / $109.65 / $208.93	Professional	50	$35.48	$109.65	$208.93
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.48 / $28.18 / $125.89	Professional	52	$11.48	$28.18	$125.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.18 / $70.79	Professional	TC	$19.05	$28.18	$70.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $85.11 / $269.15	Facility		$28.18	$85.11	$269.15
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $8.91 / $8.91	Facility	26	$8.91	$8.91	$8.91
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $21.38 / $21.38 / $21.38	Facility	TC	$21.38	$21.38	$21.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $35.48 / $67.61	Professional		$25.12	$35.48	$67.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $10.47 / $18.62	Professional	26	$6.92	$10.47	$18.62
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $38.90 / $51.29 / $97.72	Professional	50	$38.90	$51.29	$97.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $25.70 / $50.12	Professional	TC	$17.78	$25.70	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $75.86 / $251.19	Facility		$28.18	$75.86	$251.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.95 / $10.47 / $25.12	Facility	26	$1.95	$10.47	$25.12
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $6.03 / $31.62 / $87.10	Facility	TC	$6.03	$31.62	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $41.69 / $87.10	Professional		$25.12	$41.69	$87.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $11.48 / $22.39	Professional	26	$6.76	$11.48	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $30.20 / $67.61	Professional	TC	$18.62	$30.20	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $104.71 / $251.19	Facility		$19.50	$104.71	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.11 / $64.57	Professional		$25.12	$33.11	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $9.12 / $16.98	Professional	26	$6.92	$9.12	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $24.55 / $47.86	Professional	TC	$17.78	$24.55	$47.86