Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $257.04 / $616.60	Facility		$58.88	$257.04	$616.60
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.24 / $10.96 / $33.11	Facility	26	$7.24	$10.96	$33.11
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $32.36 / $147.91 / $501.19	Facility	TC	$32.36	$147.91	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $44.67 / $141.25	Professional		$11.22	$44.67	$141.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $15.14 / $44.67	Professional	26	$7.76	$15.14	$44.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $18.20 / $100.00 / $218.78	Professional	50	$18.20	$100.00	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $43.65 / $93.33	Professional	TC	$25.12	$43.65	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $107.15 / $269.15	Facility		$31.62	$107.15	$269.15
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $9.33 / $9.33	Facility	26	$9.33	$9.33	$9.33
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $27.54 / $27.54 / $27.54	Facility	TC	$27.54	$27.54	$27.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $41.69 / $79.43	Professional		$30.20	$41.69	$79.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.22 / $19.05	Professional	26	$7.41	$11.22	$19.05
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $45.71 / $61.66 / $114.82	Professional	50	$45.71	$61.66	$114.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $32.36 / $63.10	Professional	TC	$22.39	$32.36	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $112.20 / $281.84	Facility		$42.66	$112.20	$281.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.04 / $10.96 / $26.30	Facility	26	$2.04	$10.96	$26.30
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $7.76 / $40.74 / $109.65	Facility	TC	$7.76	$40.74	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $47.86 / $102.33	Professional		$29.51	$47.86	$102.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $11.75 / $22.91	Professional	26	$6.92	$11.75	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $38.02 / $85.11	Professional	TC	$22.39	$38.02	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $104.71 / $251.19	Facility		$20.42	$104.71	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $75.86	Professional		$28.84	$38.90	$75.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.33 / $17.78	Professional	26	$7.08	$9.33	$17.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $30.20 / $58.88	Professional	TC	$21.38	$30.20	$58.88