Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.56 / $238.85 / $381.40	Facility		$117.56	$238.85	$381.40
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.42 / $53.42 / $53.42	Facility	26	$53.42	$53.42	$53.42
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $86.15 / $238.85 / $465.50	Facility	TC	$86.15	$238.85	$465.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.18 / $46.96 / $148.13	Professional		$27.18	$46.96	$148.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.67 / $11.94 / $49.65	Professional	26	$6.67	$11.94	$49.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $44.56 / $44.56 / $229.50	Professional	50	$44.56	$44.56	$229.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.11 / $28.05 / $32.25	Professional	TC	$21.11	$28.05	$32.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.37 / $140.30 / $197.47	Facility		$93.37	$140.30	$197.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $51.84 / $76.91	Professional		$45.48	$51.84	$76.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $10.33 / $16.47	Professional	26	$7.23	$10.33	$16.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.06 / $41.51 / $41.51	Professional	TC	$29.06	$41.51	$41.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.97 / $173.34 / $304.72	Facility		$149.97	$173.34	$304.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $61.83 / $79.19	Professional		$35.09	$61.83	$79.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.35 / $12.47 / $17.87	Professional	26	$7.35	$12.47	$17.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.75 / $49.36 / $74.34	Professional	TC	$24.75	$49.36	$74.34
United Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $41.09 / $68.72	Professional		$25.40	$41.09	$68.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $11.15 / $17.96	Professional	26	$7.58	$11.15	$17.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.54 / $38.13 / $74.00	Professional	TC	$20.54	$38.13	$74.00