Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.45 / $276.89 / $724.24	Facility		$105.45	$276.89	$724.24
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.03 / $8.19 / $9.50	Facility	26	$8.03	$8.19	$9.50
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $92.73 / $245.74 / $737.20	Facility	TC	$92.73	$245.74	$737.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $19.91 / $48.89	Professional		$8.40	$19.91	$48.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.11 / $8.91 / $19.95	Professional	26	$7.11	$8.91	$19.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $98.00 / $98.00 / $168.84	Professional	50	$98.00	$98.00	$168.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.93 / $26.46 / $63.83	Professional	TC	$23.93	$26.46	$63.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $172.00 / $172.00	Professional		$105.00	$172.00	$172.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.00 / $35.00 / $35.00	Professional	26	$35.00	$35.00	$35.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $84.00 / $137.00 / $137.00	Professional	TC	$84.00	$137.00	$137.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $49.72 / $99.77	Professional		$34.19	$49.72	$99.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.22 / $13.18 / $23.13	Professional	26	$9.22	$13.18	$23.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.88 / $35.65 / $73.30	Professional	TC	$24.88	$35.65	$73.30
United Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $69.09 / $118.02	Professional		$36.69	$69.09	$118.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.83 / $15.84 / $27.06	Professional	26	$8.83	$15.84	$27.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.86 / $58.52 / $75.89	Professional	TC	$27.86	$58.52	$75.89