Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $204.17 / $575.44	Facility		$44.67	$204.17	$575.44
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $14.13 / $37.15	Facility	26	$9.33	$14.13	$37.15
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.84 / $83.18 / $380.19	Facility	TC	$28.84	$83.18	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.29 / $154.88	Professional		$33.11	$51.29	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.45 / $40.74	Professional	26	$8.91	$14.45	$40.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.02 / $120.23 / $204.17	Professional	50	$38.02	$120.23	$204.17
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $17.78 / $72.44 / $162.18	Professional	52	$17.78	$72.44	$162.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $32.36 / $74.13	Professional	TC	$22.91	$32.36	$74.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $100.00 / $323.59	Facility		$33.88	$100.00	$323.59
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.30 / $12.30	Facility	26	$12.30	$12.30	$12.30
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $29.51 / $29.51 / $29.51	Facility	TC	$29.51	$29.51	$29.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $95.50	Professional		$34.67	$46.77	$95.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $13.80 / $26.30	Professional	26	$9.33	$13.80	$26.30
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $53.70 / $66.07 / $123.03	Professional	50	$53.70	$66.07	$123.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $33.88 / $70.79	Professional	TC	$25.12	$33.88	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $109.65 / $380.19	Facility		$41.69	$109.65	$380.19
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 $7.08 / $38.02 / $102.33	Facility	TC	$7.08	$38.02	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $52.48 / $107.15	Professional		$32.36	$52.48	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $15.49 / $29.51	Professional	26	$8.91	$15.49	$29.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $38.90 / $79.43	Professional	TC	$23.44	$38.90	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $134.90 / $309.03	Facility		$28.18	$134.90	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $81.28	Professional		$32.36	$42.66	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $12.59 / $22.91	Professional	26	$9.33	$12.59	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $30.20 / $57.54	Professional	TC	$22.39	$30.20	$57.54