Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $190.55 / $524.81	Facility		$37.15	$190.55	$524.81
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $10.72 / $27.54	Facility	26	$7.08	$10.72	$27.54
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.39 / $67.61 / $416.87	Facility	TC	$22.39	$67.61	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $35.48 / $134.90	Professional		$15.85	$35.48	$134.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $15.49 / $44.67	Professional	26	$7.08	$15.49	$44.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $17.78 / $77.62 / $186.21	Professional	50	$17.78	$77.62	$186.21
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.48 / $28.84 / $213.80	Professional	52	$11.48	$28.84	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $25.70 / $72.44	Professional	TC	$16.98	$25.70	$72.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $75.86 / $323.59	Facility		$25.70	$75.86	$323.59
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 $18.62 / $18.62 / $18.62	Facility	TC	$18.62	$18.62	$18.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.88 / $63.10	Professional		$24.55	$33.88	$63.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $10.47 / $18.20	Professional	26	$6.92	$10.47	$18.20
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $37.15 / $48.98 / $91.20	Professional	50	$37.15	$48.98	$91.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.44 / $45.71	Professional	TC	$16.98	$23.44	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $85.11 / $338.84	Facility		$32.36	$85.11	$338.84
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 $5.37 / $28.84 / $79.43	Facility	TC	$5.37	$28.84	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $38.90 / $77.62	Professional		$23.44	$38.90	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $11.22 / $21.88	Professional	26	$6.61	$11.22	$21.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $28.18 / $61.66	Professional	TC	$16.60	$28.18	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $134.90 / $302.00	Facility		$18.62	$134.90	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $58.88	Professional		$22.91	$30.90	$58.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $8.71 / $16.60	Professional	26	$6.61	$8.71	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $21.88 / $42.66	Professional	TC	$16.22	$21.88	$42.66