Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.92 / $172.90 / $443.70	Facility		$36.92	$172.90	$443.70
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.75 / $9.57 / $16.63	Facility	26	$7.75	$9.57	$16.63
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.78 / $57.44 / $337.30	Facility	TC	$22.78	$57.44	$337.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $30.54 / $79.79	Professional		$20.39	$30.54	$79.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $8.35 / $34.38	Professional	26	$7.03	$8.35	$34.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $47.52 / $68.04 / $96.04	Professional	50	$47.52	$68.04	$96.04
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.53 / $15.03 / $25.64	Professional	52	$11.53	$15.03	$25.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $22.31 / $53.90	Professional	TC	$17.89	$22.31	$53.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.10 / $102.33 / $165.31	Facility		$54.10	$102.33	$165.31
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $8.94 / $8.94 / $8.94	Facility	26	$8.94	$8.94	$8.94
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $18.57 / $18.57 / $18.57	Facility	TC	$18.57	$18.57	$18.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.59 / $35.47 / $57.06	Professional		$26.59	$35.47	$57.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.80 / $16.17	Professional	26	$7.76	$10.80	$16.17
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $37.20 / $47.95 / $78.31	Professional	50	$37.20	$47.95	$78.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.29 / $25.07 / $42.07	Professional	TC	$19.29	$25.07	$42.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.85 / $100.07 / $266.75	Facility		$40.85	$100.07	$266.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.19	Facility	26	$9.19	$9.19	$9.19
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $26.47 / $26.47 / $26.47	Facility	TC	$26.47	$26.47	$26.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $38.14 / $66.73	Professional		$26.06	$38.14	$66.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.06 / $11.39 / $18.23	Professional	26	$7.06	$11.39	$18.23
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $37.85 / $37.85 / $42.89	Professional	50	$37.85	$37.85	$42.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.25 / $26.44 / $47.49	Professional	TC	$18.25	$26.44	$47.49
United Facility/Professional Facility Modifier Low / Median / High Price $114.42 / $181.12 / $238.08	Facility		$114.42	$181.12	$238.08
United Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $32.74 / $57.89	Professional		$26.14	$32.74	$57.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.49 / $9.59 / $16.80	Professional	26	$7.49	$9.59	$16.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.03 / $23.13 / $41.25	Professional	TC	$18.03	$23.13	$41.25