Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $245.47 / $645.65	Facility		$57.54	$245.47	$645.65
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $12.02 / $33.88	Facility	26	$7.94	$12.02	$33.88
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $32.36 / $134.90 / $537.03	Facility	TC	$32.36	$134.90	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $46.77 / $154.88	Professional		$10.00	$46.77	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $16.60 / $50.12	Professional	26	$8.32	$16.60	$50.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $20.89 / $89.13 / $223.87	Professional	50	$20.89	$89.13	$223.87
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $33.11 / $67.61 / $67.61	Professional	52	$33.11	$67.61	$67.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $41.69 / $102.33	Professional	TC	$24.55	$41.69	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $102.33 / $269.15	Facility		$33.11	$102.33	$269.15
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.00 / $10.00	Facility	26	$10.00	$10.00	$10.00
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $27.54 / $27.54 / $27.54	Facility	TC	$27.54	$27.54	$27.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $81.28	Professional		$30.20	$42.66	$81.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.02 / $20.89	Professional	26	$7.94	$12.02	$20.89
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $45.71 / $63.10 / $120.23	Professional	50	$45.71	$63.10	$120.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $31.62 / $63.10	Professional	TC	$21.38	$31.62	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $91.20 / $263.03	Facility		$35.48	$91.20	$263.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.19 / $11.75 / $28.18	Facility	26	$2.19	$11.75	$28.18
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $7.41 / $38.90 / $104.71	Facility	TC	$7.41	$38.90	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $48.98 / $104.71	Professional		$30.20	$48.98	$104.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $12.88 / $25.12	Professional	26	$7.59	$12.88	$25.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $37.15 / $83.18	Professional	TC	$22.39	$37.15	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $104.71 / $251.19	Facility		$22.91	$104.71	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $39.81 / $77.62	Professional		$29.51	$39.81	$77.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.23 / $19.05	Professional	26	$7.76	$10.23	$19.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $30.20 / $58.88	Professional	TC	$21.38	$30.20	$58.88