Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $208.93 / $524.81	Facility		$44.67	$208.93	$524.81
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $11.22 / $26.92	Facility	26	$7.59	$11.22	$26.92
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.70 / $89.13 / $416.87	Facility	TC	$25.70	$89.13	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $35.48 / $112.20	Professional		$8.91	$35.48	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $12.88 / $42.66	Professional	26	$7.59	$12.88	$42.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $37.15 / $138.04 / $218.78	Professional	50	$37.15	$138.04	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $28.84 / $66.07	Professional	TC	$19.95	$28.84	$66.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $87.10 / $269.15	Facility		$28.18	$87.10	$269.15
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.00 / $10.00	Facility	26	$10.00	$10.00	$10.00
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $23.99 / $23.99 / $23.99	Facility	TC	$23.99	$23.99	$23.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $79.43	Professional		$28.18	$39.81	$79.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $11.48 / $21.38	Professional	26	$7.76	$11.48	$21.38
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $42.66 / $54.95 / $104.71	Professional	50	$42.66	$54.95	$104.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $28.18 / $58.88	Professional	TC	$20.42	$28.18	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $93.33 / $269.15	Facility		$33.88	$93.33	$269.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.14 / $11.22 / $27.54	Facility	26	$2.14	$11.22	$27.54
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $6.31 / $33.88 / $89.13	Facility	TC	$6.31	$33.88	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $44.67 / $91.20	Professional		$27.54	$44.67	$91.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $12.59 / $23.99	Professional	26	$7.24	$12.59	$23.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $33.11 / $70.79	Professional	TC	$19.95	$33.11	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $104.71 / $251.19	Facility		$23.44	$104.71	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.48 / $69.18	Professional		$26.92	$35.48	$69.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.23 / $18.62	Professional	26	$7.59	$10.23	$18.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $25.70 / $50.12	Professional	TC	$19.50	$25.70	$50.12