Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.72 / $242.31 / $387.22	Facility		$93.72	$242.31	$387.22
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $51.29 / $51.29	Facility	26	$51.29	$51.29	$51.29
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $85.12 / $298.58 / $616.00	Facility	TC	$85.12	$298.58	$616.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $30.85 / $66.20	Professional		$20.03	$30.85	$66.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.96 / $9.28 / $48.44	Professional	26	$6.96	$9.28	$48.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.00 / $60.00 / $60.00	Professional	50	$60.00	$60.00	$60.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.42 / $15.30 / $15.43	Professional	52	$11.42	$15.30	$15.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.87 / $21.56 / $25.17	Professional	TC	$15.87	$21.56	$25.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.37 / $140.30 / $197.47	Facility		$93.37	$140.30	$197.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $42.60 / $63.67	Professional		$38.00	$42.60	$63.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.94 / $9.91 / $18.64	Professional	26	$6.94	$9.91	$18.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.88 / $32.69 / $33.36	Professional	TC	$22.88	$32.69	$33.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.51 / $173.34 / $304.72	Facility		$122.51	$173.34	$304.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $51.66 / $68.11	Professional		$29.53	$51.66	$68.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.40 / $11.98 / $17.16	Professional	26	$7.40	$11.98	$17.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.36 / $39.68 / $59.90	Professional	TC	$22.36	$39.68	$59.90
United Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $36.63 / $56.64	Professional		$25.21	$36.63	$56.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $9.81 / $21.04	Professional	26	$7.59	$9.81	$21.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.14 / $31.78 / $58.30	Professional	TC	$17.14	$31.78	$58.30