Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.56 / $298.58 / $481.60	Facility		$117.56	$298.58	$481.60
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.42 / $53.42 / $53.42	Facility	26	$53.42	$53.42	$53.42
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $158.82 / $298.58 / $581.70	Facility	TC	$158.82	$298.58	$581.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $41.72 / $161.50	Professional		$23.85	$41.72	$161.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.52 / $8.88 / $51.00	Professional	26	$6.52	$8.88	$51.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $306.00 / $306.00 / $306.00	Professional	50	$306.00	$306.00	$306.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.32 / $23.95 / $27.54	Professional	TC	$17.32	$23.95	$27.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.37 / $140.30 / $197.47	Facility		$93.37	$140.30	$197.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $46.80 / $66.18	Professional		$40.61	$46.80	$66.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $10.33 / $16.47	Professional	26	$7.23	$10.33	$16.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.54 / $36.47 / $36.47	Professional	TC	$25.54	$36.47	$36.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.56 / $173.34 / $304.72	Facility		$130.56	$173.34	$304.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.79 / $55.21 / $71.00	Professional		$31.79	$55.21	$71.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.35 / $12.47 / $17.87	Professional	26	$7.35	$12.47	$17.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.63 / $42.74 / $65.22	Professional	TC	$24.63	$42.74	$65.22
United Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $38.90 / $87.10	Professional		$25.40	$38.90	$87.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $11.15 / $17.96	Professional	26	$7.58	$11.15	$17.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.96 / $33.13 / $65.04	Professional	TC	$19.96	$33.13	$65.04