Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.88 / $240.80 / $551.30	Facility		$73.88	$240.80	$551.30
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $10.88 / $21.83	Facility	26	$8.13	$10.88	$21.83
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $34.96 / $187.00 / $467.43	Facility	TC	$34.96	$187.00	$467.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $42.69 / $134.29	Professional		$21.68	$42.69	$134.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.63 / $11.18 / $38.14	Professional	26	$7.63	$11.18	$38.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $22.50 / $105.43 / $227.75	Professional	50	$22.50	$105.43	$227.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.37 / $32.61 / $76.06	Professional	TC	$25.37	$32.61	$76.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.80 / $134.30 / $208.82	Facility		$56.80	$134.30	$208.82
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $27.75 / $27.75 / $27.75	Facility	TC	$27.75	$27.75	$27.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.88 / $43.99 / $74.93	Professional		$32.88	$43.99	$74.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $11.39 / $16.90	Professional	26	$8.09	$11.39	$16.90
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $46.38 / $63.87 / $102.67	Professional	50	$46.38	$63.87	$102.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.48 / $33.45 / $59.14	Professional	TC	$25.48	$33.45	$59.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.75 / $113.60 / $228.97	Facility		$56.75	$113.60	$228.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $9.61	Facility	26	$9.61	$9.61	$9.61
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $36.90 / $36.90 / $36.90	Facility	TC	$36.90	$36.90	$36.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $48.04 / $83.18	Professional		$30.64	$48.04	$83.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $11.92 / $19.45	Professional	26	$7.59	$11.92	$19.45
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $47.36 / $47.36 / $53.88	Professional	50	$47.36	$47.36	$53.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.20 / $35.64 / $67.15	Professional	TC	$23.20	$35.64	$67.15
United Facility/Professional Facility Modifier Low / Median / High Price $152.00 / $173.25 / $173.25	Facility		$152.00	$173.25	$173.25
United Facility/Professional Professional Modifier Low / Median / High Price $30.89 / $41.42 / $74.75	Professional		$30.89	$41.42	$74.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.06 / $10.19 / $18.10	Professional	26	$8.06	$10.19	$18.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.84 / $31.84 / $57.12	Professional	TC	$23.84	$31.84	$57.12