Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $234.42 / $575.44	Facility		$43.65	$234.42	$575.44
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.76 / $10.00 / $24.55	Facility	26	$6.76	$10.00	$24.55
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.44 / $93.33 / $478.63	Facility	TC	$23.44	$93.33	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $34.67 / $112.20	Professional		$10.47	$34.67	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $13.80 / $44.67	Professional	26	$7.08	$13.80	$44.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $21.88 / $77.62 / $177.83	Professional	50	$21.88	$77.62	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $28.84 / $70.79	Professional	TC	$17.78	$28.84	$70.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $77.62 / $269.15	Facility		$25.70	$77.62	$269.15
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $8.91 / $8.91	Facility	26	$8.91	$8.91	$8.91
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $21.38 / $21.38 / $21.38	Facility	TC	$21.38	$21.38	$21.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $34.67 / $64.57	Professional		$25.70	$34.67	$64.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $10.72 / $18.62	Professional	26	$6.76	$10.72	$18.62
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $38.90 / $50.12 / $93.33	Professional	50	$38.90	$50.12	$93.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $24.55 / $47.86	Professional	TC	$17.78	$24.55	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $70.79 / $239.88	Facility		$26.92	$70.79	$239.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.86 / $10.00 / $23.99	Facility	26	$1.86	$10.00	$23.99
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $5.62 / $29.51 / $79.43	Facility	TC	$5.62	$29.51	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.90 / $81.28	Professional		$23.99	$38.90	$81.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $11.22 / $21.38	Professional	26	$6.46	$11.22	$21.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $28.84 / $63.10	Professional	TC	$17.38	$28.84	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $104.71 / $251.19	Facility		$19.95	$104.71	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.90 / $60.26	Professional		$23.44	$30.90	$60.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $8.91 / $16.60	Professional	26	$6.61	$8.91	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $22.91 / $44.67	Professional	TC	$16.60	$22.91	$44.67