Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $251.19 / $575.44	Facility		$114.82	$251.19	$575.44
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $134.90 / $295.12 / $575.44	Facility	TC	$134.90	$295.12	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $42.66 / $123.03	Professional		$10.72	$42.66	$123.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.79 / $52.48	Professional	26	$8.91	$14.79	$52.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $40.74 / $40.74 / $40.74	Professional	50	$40.74	$40.74	$40.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $42.66 / $109.65	Professional	TC	$23.99	$42.66	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $141.25 / $208.93	Facility		$112.20	$141.25	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $77.62	Professional		$44.67	$60.26	$77.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $13.18 / $17.38	Professional	26	$9.33	$13.18	$17.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $45.71 / $60.26	Professional	TC	$32.36	$45.71	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $302.00	Facility		$173.78	$173.78	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $72.44 / $112.20	Professional		$38.02	$72.44	$112.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $19.95 / $23.44	Professional	26	$9.12	$19.95	$23.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $54.95 / $89.13	Professional	TC	$27.54	$54.95	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $52.48 / $97.72	Professional		$37.15	$52.48	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $13.18 / $21.38	Professional	26	$10.47	$13.18	$21.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $42.66 / $75.86	Professional	TC	$26.92	$42.66	$75.86