Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $213.80 / $537.03	Facility		$48.98	$213.80	$537.03
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $10.72 / $30.90	Facility	26	$7.08	$10.72	$30.90
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.70 / $102.33 / $489.78	Facility	TC	$25.70	$102.33	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $36.31 / $114.82	Professional		$8.51	$36.31	$114.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $14.13 / $42.66	Professional	26	$7.08	$14.13	$42.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $23.99 / $85.11 / $213.80	Professional	50	$23.99	$85.11	$213.80
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $28.18 / $33.11 / $66.07	Professional	52	$28.18	$33.11	$66.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $33.11 / $83.18	Professional	TC	$19.95	$33.11	$83.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $85.11 / $269.15	Facility		$28.84	$85.11	$269.15
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $8.91 / $8.91	Facility	26	$8.91	$8.91	$8.91
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $23.44 / $23.44 / $23.44	Facility	TC	$23.44	$23.44	$23.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $37.15 / $69.18	Professional		$26.30	$37.15	$69.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.96 / $19.50	Professional	26	$7.08	$10.96	$19.50
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $39.81 / $54.95 / $102.33	Professional	50	$39.81	$54.95	$102.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $26.30 / $52.48	Professional	TC	$18.20	$26.30	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $91.20 / $269.15	Facility		$36.31	$91.20	$269.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.95 / $10.47 / $25.12	Facility	26	$1.95	$10.47	$25.12
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $6.03 / $32.36 / $87.10	Facility	TC	$6.03	$32.36	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $41.69 / $87.10	Professional		$25.70	$41.69	$87.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $11.48 / $22.39	Professional	26	$6.92	$11.48	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.90 / $69.18	Professional	TC	$19.05	$30.90	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $104.71 / $251.19	Facility		$19.95	$104.71	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $66.07	Professional		$25.70	$33.88	$66.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $9.33 / $16.98	Professional	26	$6.92	$9.33	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $25.12 / $48.98	Professional	TC	$17.78	$25.12	$48.98