Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $346.74 / $501.19	Facility		$87.10	$346.74	$501.19
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $9.33 / $9.33	Facility	26	$9.33	$9.33	$9.33
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $245.47 / $346.74 / $831.76	Facility	TC	$245.47	$346.74	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $38.90 / $107.15	Professional		$8.71	$38.90	$107.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $17.38 / $39.81	Professional	26	$8.32	$17.38	$39.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $33.11 / $64.57 / $162.18	Professional	50	$33.11	$64.57	$162.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $51.29 / $87.10	Professional	TC	$27.54	$51.29	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $162.18	Professional		$104.71	$162.18	$162.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $36.31 / $36.31	Professional	26	$22.91	$36.31	$36.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $125.89 / $125.89	Professional	TC	$81.28	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $64.57 / $107.15	Professional		$33.88	$64.57	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $15.85 / $28.18	Professional	26	$10.00	$15.85	$28.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $47.86 / $79.43	Professional	TC	$23.99	$47.86	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $69.18 / $120.23	Professional		$37.15	$69.18	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $16.98 / $29.51	Professional	26	$9.77	$16.98	$29.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $52.48 / $87.10	Professional	TC	$26.92	$52.48	$87.10