Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $239.88 / $407.38	Facility		$177.83	$239.88	$407.38
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $131.83 / $131.83 / $131.83	Facility	TC	$131.83	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $30.90 / $93.33	Professional		$8.51	$30.90	$93.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $12.02 / $47.86	Professional	26	$7.59	$12.02	$47.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $18.62 / $134.90 / $177.83	Professional	50	$18.62	$134.90	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $26.92 / $87.10	Professional	TC	$17.78	$26.92	$87.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $141.25 / $208.93	Facility		$112.20	$141.25	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $58.88	Professional		$33.88	$44.67	$58.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.72 / $14.13	Professional	26	$7.59	$10.72	$14.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $33.88 / $44.67	Professional	TC	$23.99	$33.88	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $173.78 / $302.00	Facility		$128.82	$173.78	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $57.54 / $83.18	Professional		$29.51	$57.54	$83.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $16.22 / $19.50	Professional	26	$7.41	$16.22	$19.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $41.69 / $64.57	Professional	TC	$21.38	$41.69	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $70.79	Professional		$29.51	$41.69	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $10.72 / $17.38	Professional	26	$8.91	$10.72	$17.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $32.36 / $53.70	Professional	TC	$20.42	$32.36	$53.70