Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $213.80 / $562.34	Facility		$64.57	$213.80	$562.34
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $13.80 / $38.90	Facility	26	$9.33	$13.80	$38.90
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $36.31 / $144.54 / $489.78	Facility	TC	$36.31	$144.54	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $47.86 / $144.54	Professional		$11.22	$47.86	$144.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.79 / $48.98	Professional	26	$8.91	$14.79	$48.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $26.30 / $52.48 / $186.21	Professional	50	$26.30	$52.48	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $43.65 / $102.33	Professional	TC	$28.18	$43.65	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $117.49 / $275.42	Facility		$38.02	$117.49	$275.42
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $11.75 / $11.75 / $11.75	Facility	26	$11.75	$11.75	$11.75
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $31.62 / $31.62 / $31.62	Facility	TC	$31.62	$31.62	$31.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $51.29 / $102.33	Professional		$33.88	$51.29	$102.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $13.80 / $25.70	Professional	26	$9.33	$13.80	$25.70
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $50.12 / $72.44 / $138.04	Professional	50	$50.12	$72.44	$138.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $38.02 / $77.62	Professional	TC	$26.92	$38.02	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $128.82 / $309.03	Facility		$54.95	$128.82	$309.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.63 / $13.80 / $33.88	Facility	26	$2.63	$13.80	$33.88
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $8.71 / $45.71 / $123.03	Facility	TC	$8.71	$45.71	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $57.54 / $117.49	Professional		$35.48	$57.54	$117.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $15.14 / $29.51	Professional	26	$8.91	$15.14	$29.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $43.65 / $95.50	Professional	TC	$26.92	$43.65	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $104.71 / $251.19	Facility		$30.20	$104.71	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $45.71 / $89.13	Professional		$35.48	$45.71	$89.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $12.02 / $22.39	Professional	26	$9.12	$12.02	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $34.67 / $67.61	Professional	TC	$26.30	$34.67	$67.61