Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $288.40 / $407.38	Facility		$186.21	$288.40	$407.38
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $50.12 / $50.12	Facility	26	$50.12	$50.12	$50.12
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $125.89 / $288.40 / $575.44	Facility	TC	$125.89	$288.40	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $38.90 / $112.20	Professional		$9.12	$38.90	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $18.20 / $53.70	Professional	26	$8.51	$18.20	$53.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.95 / $79.43 / $169.82	Professional	50	$19.95	$79.43	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $40.74 / $91.20	Professional	TC	$20.89	$40.74	$91.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $138.04 / $194.98	Facility		$93.33	$138.04	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $51.29 / $81.28	Professional		$38.02	$51.29	$81.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $11.22 / $20.42	Professional	26	$7.76	$11.22	$20.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $39.81 / $52.48	Professional	TC	$28.18	$39.81	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $173.78 / $302.00	Facility		$151.36	$173.78	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $61.66 / $85.11	Professional		$30.90	$61.66	$85.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $16.60 / $19.95	Professional	26	$7.94	$16.60	$19.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $51.29 / $75.86	Professional	TC	$22.39	$51.29	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $43.65 / $74.13	Professional		$27.54	$43.65	$74.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $11.22 / $18.62	Professional	26	$8.32	$11.22	$18.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $38.02 / $66.07	Professional	TC	$19.50	$38.02	$66.07