Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.83 / $215.53 / $502.71	Facility		$54.83	$215.53	$502.71
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.75 / $10.42 / $14.98	Facility	26	$7.75	$10.42	$14.98
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.86 / $136.47 / $463.25	Facility	TC	$27.86	$136.47	$463.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $34.49 / $98.84	Professional		$15.57	$34.49	$98.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.22 / $9.40 / $39.00	Professional	26	$7.22	$9.40	$39.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.51 / $104.05 / $208.50	Professional	50	$48.51	$104.05	$208.50
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.64 / $16.09 / $20.65	Professional	52	$12.64	$16.09	$20.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.46 / $25.08 / $61.29	Professional	TC	$19.46	$25.08	$61.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.77 / $131.08 / $171.78	Facility		$75.77	$131.08	$171.78
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $8.94 / $8.94 / $8.94	Facility	26	$8.94	$8.94	$8.94
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $23.35 / $23.35 / $23.35	Facility	TC	$23.35	$23.35	$23.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.19 / $38.54 / $67.00	Professional		$29.19	$38.54	$67.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.99 / $16.38	Professional	26	$7.76	$10.99	$16.38
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $39.89 / $57.41 / $88.46	Professional	50	$39.89	$57.41	$88.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.04 / $28.03 / $51.30	Professional	TC	$21.04	$28.03	$51.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.19 / $101.61 / $212.44	Facility		$45.19	$101.61	$212.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.19	Facility	26	$9.19	$9.19	$9.19
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $29.46 / $29.46 / $29.46	Facility	TC	$29.46	$29.46	$29.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $41.48 / $71.36	Professional		$27.52	$41.48	$71.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.67 / $11.64 / $18.69	Professional	26	$7.67	$11.64	$18.69
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $41.91 / $41.91 / $47.61	Professional	50	$41.91	$41.91	$47.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.57 / $29.86 / $54.62	Professional	TC	$19.57	$29.86	$54.62
United Facility/Professional Facility Modifier Low / Median / High Price $83.32 / $128.56 / $180.80	Facility		$83.32	$128.56	$180.80
United Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $36.09 / $63.40	Professional		$27.77	$36.09	$63.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $10.15 / $19.88	Professional	26	$7.95	$10.15	$19.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.54 / $27.08 / $48.40	Professional	TC	$19.54	$27.08	$48.40