Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $218.78 / $309.03	Facility		$51.29	$218.78	$309.03
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.71 / $8.71 / $8.71	Facility	26	$8.71	$8.71	$8.71
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $223.87 / $245.47 / $371.54	Facility	TC	$223.87	$245.47	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $33.11 / $77.62	Professional		$8.51	$33.11	$77.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $17.38 / $38.02	Professional	26	$7.94	$17.38	$38.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $134.90 / $134.90 / $134.90	Professional	50	$134.90	$134.90	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $37.15 / $60.26	Professional	TC	$22.91	$37.15	$60.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $141.25 / $141.25	Professional		$91.20	$141.25	$141.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $33.88 / $33.88	Professional	26	$21.88	$33.88	$33.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $107.15 / $107.15	Professional	TC	$69.18	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $56.23 / $91.20	Professional		$33.88	$56.23	$91.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $15.85 / $27.54	Professional	26	$9.55	$15.85	$27.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $42.66 / $64.57	Professional	TC	$22.91	$42.66	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $61.66 / $100.00	Professional		$30.90	$61.66	$100.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $16.60 / $29.51	Professional	26	$9.12	$16.60	$29.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $44.67 / $70.79	Professional	TC	$21.88	$44.67	$70.79