Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.86 / $225.60 / $484.62	Facility		$67.86	$225.60	$484.62
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.35 / $13.04 / $24.31	Facility	26	$10.35	$13.04	$24.31
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $41.04 / $208.05 / $421.35	Facility	TC	$41.04	$208.05	$421.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $46.08 / $119.70	Professional		$17.14	$46.08	$119.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.60 / $11.83 / $38.22	Professional	26	$9.60	$11.83	$38.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $46.08 / $46.08 / $53.01	Professional	50	$46.08	$46.08	$53.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $34.84 / $74.64	Professional	TC	$27.55	$34.84	$74.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.72 / $184.04 / $220.94	Facility		$50.72	$184.04	$220.94
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $11.82 / $11.82 / $11.82	Facility	26	$11.82	$11.82	$11.82
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $31.41 / $31.41 / $31.41	Facility	TC	$31.41	$31.41	$31.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $53.34 / $86.93	Professional		$40.15	$53.34	$86.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.86 / $13.84 / $21.49	Professional	26	$9.86	$13.84	$21.49
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $57.91 / $74.13 / $121.27	Professional	50	$57.91	$74.13	$121.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.93 / $41.90 / $65.65	Professional	TC	$30.93	$41.90	$65.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.59 / $138.36 / $240.60	Facility		$67.59	$138.36	$240.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.30 / $12.30	Facility	26	$12.30	$12.30	$12.30
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $41.38 / $41.38 / $41.38	Facility	TC	$41.38	$41.38	$41.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.96 / $56.52 / $98.56	Professional		$37.96	$56.52	$98.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.73 / $15.26 / $24.98	Professional	26	$9.73	$15.26	$24.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.11 / $42.05 / $75.02	Professional	TC	$29.11	$42.05	$75.02
United Facility/Professional Facility Modifier Low / Median / High Price $152.26 / $152.26 / $163.02	Facility		$152.26	$152.26	$163.02
United Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $50.35 / $87.28	Professional		$39.40	$50.35	$87.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.63 / $13.25 / $23.05	Professional	26	$10.63	$13.25	$23.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $37.13 / $64.31	Professional	TC	$28.18	$37.13	$64.31