Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.30 / $242.31 / $389.26	Facility		$187.30	$242.31	$389.26
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.55 / $55.55 / $55.55	Facility	26	$55.55	$55.55	$55.55
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $154.44 / $232.75 / $232.75	Facility	TC	$154.44	$232.75	$232.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $31.86 / $51.21	Professional		$23.77	$31.86	$51.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.07 / $9.27 / $53.00	Professional	26	$7.07	$9.27	$53.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $250.00 / $250.00 / $250.00	Professional	50	$250.00	$250.00	$250.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.52 / $22.54 / $25.81	Professional	TC	$18.52	$22.54	$25.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.64 / $155.88 / $197.47	Facility		$108.64	$155.88	$197.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $44.70 / $90.60	Professional		$38.00	$44.70	$90.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.53 / $10.75 / $12.17	Professional	26	$7.53	$10.75	$12.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.77 / $33.95 / $33.95	Professional	TC	$23.77	$33.95	$33.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.12 / $173.34 / $304.72	Facility		$124.12	$173.34	$304.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.18 / $53.16 / $72.00	Professional		$32.18	$53.16	$72.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.65 / $12.97 / $18.57	Professional	26	$7.65	$12.97	$18.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.93 / $40.19 / $55.10	Professional	TC	$22.93	$40.19	$55.10
United Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $43.82 / $83.00	Professional		$29.27	$43.82	$83.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.56 / $11.59 / $18.66	Professional	26	$8.56	$11.59	$18.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.33 / $32.45 / $60.57	Professional	TC	$21.33	$32.45	$60.57