Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.59 / $242.53 / $565.26	Facility		$68.59	$242.53	$565.26
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.79 / $11.41 / $23.20	Facility	26	$8.79	$11.41	$23.20
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $34.63 / $199.19 / $497.62	Facility	TC	$34.63	$199.19	$497.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $43.92 / $131.75	Professional		$19.39	$43.92	$131.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $12.01 / $43.24	Professional	26	$8.36	$12.01	$43.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $34.00 / $88.79 / $220.74	Professional	50	$34.00	$88.79	$220.74
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.13 / $19.23 / $24.42	Professional	52	$15.13	$19.23	$24.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.44 / $31.27 / $77.92	Professional	TC	$24.44	$31.27	$77.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.71 / $132.32 / $205.38	Facility		$60.71	$132.32	$205.38
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $10.02 / $10.02 / $10.02	Facility	26	$10.02	$10.02	$10.02
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $27.38 / $27.38 / $27.38	Facility	TC	$27.38	$27.38	$27.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $44.79 / $80.06	Professional		$33.54	$44.79	$80.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.73 / $12.30 / $18.26	Professional	26	$8.73	$12.30	$18.26
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $46.65 / $66.43 / $106.73	Professional	50	$46.65	$66.43	$106.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.11 / $32.64 / $62.42	Professional	TC	$25.11	$32.64	$62.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.32 / $112.76 / $232.03	Facility		$55.32	$112.76	$232.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.36 / $10.36 / $10.36	Facility	26	$10.36	$10.36	$10.36
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $35.79 / $35.79 / $35.79	Facility	TC	$35.79	$35.79	$35.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.18 / $48.55 / $86.12	Professional		$32.18	$48.55	$86.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.21 / $12.93 / $20.83	Professional	26	$8.21	$12.93	$20.83
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.26 / $48.26 / $54.93	Professional	50	$48.26	$48.26	$54.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.47 / $35.76 / $65.52	Professional	TC	$23.47	$35.76	$65.52
United Facility/Professional Facility Modifier Low / Median / High Price $132.77 / $132.77 / $132.77	Facility		$132.77	$132.77	$132.77
United Facility/Professional Professional Modifier Low / Median / High Price $31.90 / $41.80 / $75.43	Professional		$31.90	$41.80	$75.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.58 / $10.98 / $19.46	Professional	26	$8.58	$10.98	$19.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.97 / $32.28 / $56.45	Professional	TC	$23.97	$32.28	$56.45