Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.34 / $211.09 / $472.73	Facility		$46.34	$211.09	$472.73
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.41 / $10.67 / $16.71	Facility	26	$8.41	$10.67	$16.71
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.97 / $79.60 / $311.58	Facility	TC	$26.97	$79.60	$311.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $34.50 / $100.11	Professional		$20.47	$34.50	$100.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.82 / $9.72 / $38.22	Professional	26	$7.82	$9.72	$38.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $79.00 / $96.35 / $151.30	Professional	50	$79.00	$96.35	$151.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.96 / $24.79 / $51.92	Professional	TC	$20.96	$24.79	$51.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.76 / $137.49 / $179.88	Facility		$39.76	$137.49	$179.88
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $10.02 / $10.02 / $10.02	Facility	26	$10.02	$10.02	$10.02
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $24.08 / $24.08 / $24.08	Facility	TC	$24.08	$24.08	$24.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $40.14 / $66.59	Professional		$30.51	$40.14	$66.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $11.63 / $17.46	Professional	26	$8.41	$11.63	$17.46
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $44.45 / $57.80 / $92.77	Professional	50	$44.45	$57.80	$92.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.14 / $30.58 / $48.78	Professional	TC	$23.14	$30.58	$48.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.98 / $112.67 / $228.67	Facility		$53.98	$112.67	$228.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $30.20 / $30.20 / $30.20	Facility	TC	$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $43.42 / $76.19	Professional		$30.17	$43.42	$76.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $12.57 / $20.30	Professional	26	$7.95	$12.57	$20.30
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.28 / $43.28 / $49.18	Professional	50	$43.28	$43.28	$49.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.90 / $32.03 / $55.10	Professional	TC	$21.90	$32.03	$55.10
United Facility/Professional Facility Modifier Low / Median / High Price $131.71 / $131.71 / $148.18	Facility		$131.71	$131.71	$148.18
United Facility/Professional Professional Modifier Low / Median / High Price $30.92 / $38.38 / $65.95	Professional		$30.92	$38.38	$65.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.75 / $10.96 / $18.76	Professional	26	$8.75	$10.96	$18.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.75 / $27.68 / $48.00	Professional	TC	$21.75	$27.68	$48.00