Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.04 / $266.25 / $558.05	Facility		$70.04	$266.25	$558.05
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.08 / $10.92 / $17.42	Facility	26	$8.08	$10.92	$17.42
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $32.08 / $226.19 / $493.15	Facility	TC	$32.08	$226.19	$493.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $38.57 / $117.62	Professional		$18.17	$38.57	$117.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $11.15 / $40.74	Professional	26	$7.33	$11.15	$40.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $29.23 / $88.72 / $116.92	Professional	50	$29.23	$88.72	$116.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.64 / $28.40 / $79.15	Professional	TC	$21.64	$28.40	$79.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.80 / $118.52 / $194.52	Facility		$56.80	$118.52	$194.52
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $22.98 / $22.98 / $22.98	Facility	TC	$22.98	$22.98	$22.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.27 / $40.83 / $70.21	Professional		$30.27	$40.83	$70.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $11.39 / $17.01	Professional	26	$8.09	$11.39	$17.01
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $41.97 / $60.04 / $91.32	Professional	50	$41.97	$60.04	$91.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $28.56 / $54.59	Professional	TC	$22.26	$28.56	$54.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.52 / $105.57 / $224.35	Facility		$49.52	$105.57	$224.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $9.61	Facility	26	$9.61	$9.61	$9.61
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $32.44 / $32.44 / $32.44	Facility	TC	$32.44	$32.44	$32.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $43.59 / $76.79	Professional		$29.29	$43.59	$76.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $11.92 / $19.27	Professional	26	$7.59	$11.92	$19.27
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.28 / $43.28 / $49.18	Professional	50	$43.28	$43.28	$49.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.91 / $31.37 / $57.66	Professional	TC	$20.91	$31.37	$57.66
United Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $109.22 / $177.49	Facility		$56.00	$109.22	$177.49
United Facility/Professional Professional Modifier Low / Median / High Price $29.46 / $37.99 / $67.54	Professional		$29.46	$37.99	$67.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $10.19 / $17.87	Professional	26	$8.09	$10.19	$17.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.08 / $28.09 / $49.64	Professional	TC	$21.08	$28.09	$49.64