Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $338.84	Facility		$323.59	$323.59	$338.84
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $457.09 / $457.09 / $457.09	Facility	TC	$457.09	$457.09	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $58.88 / $131.83	Professional		$30.90	$58.88	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $14.79 / $34.67	Professional	26	$8.71	$14.79	$34.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $120.23 / $120.23 / $120.23	Professional	50	$120.23	$120.23	$120.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $32.36 / $79.43	Professional	TC	$21.88	$32.36	$79.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $229.09 / $257.04	Facility		$186.21	$229.09	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $69.18	Professional		$38.90	$51.29	$69.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $12.88 / $17.38	Professional	26	$9.33	$12.88	$17.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $37.15 / $51.29	Professional	TC	$26.92	$37.15	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $323.59 / $575.44	Facility		$147.91	$323.59	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $69.18 / $95.50	Professional		$35.48	$69.18	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $19.95 / $23.99	Professional	26	$9.12	$19.95	$23.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $50.12 / $74.13	Professional	TC	$25.70	$50.12	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $50.12 / $83.18	Professional		$35.48	$50.12	$83.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $13.18 / $21.38	Professional	26	$10.96	$13.18	$21.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $36.31 / $61.66	Professional	TC	$24.55	$36.31	$61.66