Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.76 / $274.51 / $623.97	Facility		$50.76	$274.51	$623.97
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.68 / $8.68 / $8.86	Facility	26	$8.68	$8.68	$8.86
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $32.28 / $317.70 / $826.58	Facility	TC	$32.28	$317.70	$826.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $33.59 / $76.45	Professional		$9.14	$33.59	$76.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.67 / $9.08 / $21.79	Professional	26	$7.67	$9.08	$21.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $34.00 / $34.00 / $34.00	Professional	50	$34.00	$34.00	$34.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.34 / $16.80 / $24.42	Professional	52	$15.34	$16.80	$24.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.43 / $25.92 / $62.51	Professional	TC	$23.43	$25.92	$62.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $171.00 / $171.00	Professional		$104.00	$171.00	$171.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.00 / $38.00 / $38.00	Professional	26	$23.00	$38.00	$38.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.00 / $133.00 / $133.00	Professional	TC	$81.00	$133.00	$133.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $49.84 / $96.77	Professional		$34.27	$49.84	$96.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $14.24 / $27.22	Professional	26	$9.94	$14.24	$27.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.80 / $35.17 / $68.30	Professional	TC	$23.80	$35.17	$68.30
United Facility/Professional Professional Modifier Low / Median / High Price $37.03 / $69.72 / $119.10	Professional		$37.03	$69.72	$119.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $17.11 / $29.71	Professional	26	$10.19	$17.11	$29.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.84 / $52.30 / $85.77	Professional	TC	$26.84	$52.30	$85.77