Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $257.04 / $645.65	Facility		$57.54	$257.04	$645.65
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.24 / $10.96 / $33.88	Facility	26	$7.24	$10.96	$33.88
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.84 / $162.18 / $562.34	Facility	TC	$28.84	$162.18	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $41.69 / $131.83	Professional		$10.00	$41.69	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $16.22 / $46.77	Professional	26	$7.76	$16.22	$46.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $18.62 / $85.11 / $204.17	Professional	50	$18.62	$85.11	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $38.90 / $97.72	Professional	TC	$21.88	$38.90	$97.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $93.33 / $269.15	Facility		$30.20	$93.33	$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 $22.91 / $22.91 / $22.91	Facility	TC	$22.91	$22.91	$22.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.90 / $74.13	Professional		$27.54	$38.90	$74.13
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 $40.74 / $57.54 / $107.15	Professional	50	$40.74	$57.54	$107.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.18 / $56.23	Professional	TC	$19.05	$28.18	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $97.72 / $281.84	Facility		$38.90	$97.72	$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 $6.76 / $36.31 / $95.50	Facility	TC	$6.76	$36.31	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $43.65 / $91.20	Professional		$26.92	$43.65	$91.20
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 $19.95 / $33.11 / $74.13	Professional	TC	$19.95	$33.11	$74.13
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 $26.30 / $35.48 / $69.18	Professional		$26.30	$35.48	$69.18
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 $19.05 / $26.30 / $51.29	Professional	TC	$19.05	$26.30	$51.29