Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.03 / $194.59 / $488.01	Facility		$46.03	$194.59	$488.01
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.36 / $12.99 / $21.01	Facility	26	$10.36	$12.99	$21.01
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $31.16 / $92.73 / $426.70	Facility	TC	$31.16	$92.73	$426.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.06 / $41.67 / $92.69	Professional		$35.06	$41.67	$92.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $11.37 / $26.02	Professional	26	$9.36	$11.37	$26.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.29 / $38.29 / $38.29	Professional	50	$38.29	$38.29	$38.29
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $38.29 / $77.44 / $163.63	Professional	52	$38.29	$77.44	$163.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.42 / $29.26 / $56.35	Professional	TC	$25.42	$29.26	$56.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.99 / $159.35 / $208.47	Facility		$48.99	$159.35	$208.47
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $12.19 / $12.19 / $12.19	Facility	26	$12.19	$12.19	$12.19
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $29.21 / $29.21 / $29.21	Facility	TC	$29.21	$29.21	$29.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.02 / $47.78 / $79.13	Professional		$37.02	$47.78	$79.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $14.06 / $21.49	Professional	26	$10.35	$14.06	$21.49
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $54.02 / $68.31 / $111.29	Professional	50	$54.02	$68.31	$111.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.54 / $34.74 / $56.88	Professional	TC	$26.54	$34.74	$56.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.30 / $136.50 / $276.72	Facility		$61.30	$136.50	$276.72
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 $34.29 / $34.29 / $34.29	Facility	TC	$34.29	$34.29	$34.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $52.97 / $88.48	Professional		$35.86	$52.97	$88.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.75 / $15.51 / $25.04	Professional	26	$9.75	$15.51	$25.04
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $49.64 / $49.64 / $56.50	Professional	50	$49.64	$49.64	$56.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.43 / $37.69 / $63.34	Professional	TC	$25.43	$37.69	$63.34
United Facility/Professional Facility Modifier Low / Median / High Price $107.79 / $107.79 / $107.79	Facility		$107.79	$107.79	$107.79
United Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $45.60 / $79.88	Professional		$36.38	$45.60	$79.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.75 / $13.08 / $23.10	Professional	26	$10.75	$13.08	$23.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.71 / $32.46 / $56.26	Professional	TC	$25.71	$32.46	$56.26