Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $537.03 / $549.54	Facility		$380.19	$537.03	$549.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $10.72 / $10.72	Facility	26	$10.72	$10.72	$10.72
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $549.54 / $549.54 / $549.54	Facility	TC	$549.54	$549.54	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $48.98 / $102.33	Professional		$37.15	$48.98	$102.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $17.38 / $26.92	Professional	26	$10.00	$17.38	$26.92
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $147.91 / $147.91	Professional	50	$147.91	$147.91	$147.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $33.88 / $60.26	Professional	TC	$26.92	$33.88	$60.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $162.18	Professional		$107.15	$162.18	$162.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $41.69 / $41.69	Professional	26	$26.92	$41.69	$41.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $123.03 / $123.03	Professional	TC	$79.43	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $66.07 / $112.20	Professional		$40.74	$66.07	$112.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $19.05 / $33.11	Professional	26	$11.75	$19.05	$33.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $48.98 / $77.62	Professional	TC	$28.18	$48.98	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $70.79 / $123.03	Professional		$38.02	$70.79	$123.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $20.42 / $36.31	Professional	26	$11.22	$20.42	$36.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $51.29 / $85.11	Professional	TC	$26.30	$51.29	$85.11