Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.54 / $225.67 / $454.52	Facility		$52.54	$225.67	$454.52
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.39 / $9.50 / $16.01	Facility	26	$7.39	$9.50	$16.01
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.37 / $120.66 / $345.68	Facility	TC	$25.37	$120.66	$345.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.69 / $32.35 / $95.00	Professional		$18.69	$32.35	$95.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.94 / $9.74 / $37.15	Professional	26	$6.94	$9.74	$37.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $55.28 / $103.26 / $141.60	Professional	50	$55.28	$103.26	$141.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $22.96 / $53.34	Professional	TC	$17.57	$22.96	$53.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.76 / $101.99 / $162.07	Facility		$54.76	$101.99	$162.07
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $8.94 / $8.94 / $8.94	Facility	26	$8.94	$8.94	$8.94
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $21.15 / $21.15 / $21.15	Facility	TC	$21.15	$21.15	$21.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.12 / $35.47 / $58.21	Professional		$27.12	$35.47	$58.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.44 / $10.54 / $15.69	Professional	26	$7.44	$10.54	$15.69
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $39.33 / $49.05 / $80.58	Professional	50	$39.33	$49.05	$80.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.44 / $25.47 / $43.03	Professional	TC	$19.44	$25.47	$43.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.48 / $96.76 / $209.10	Facility		$41.48	$96.76	$209.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $26.85 / $26.85 / $26.85	Facility	TC	$26.85	$26.85	$26.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $39.11 / $67.56	Professional		$26.51	$39.11	$67.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $11.32 / $18.03	Professional	26	$7.08	$11.32	$18.03
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.29 / $38.29 / $43.42	Professional	50	$38.29	$38.29	$43.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.14 / $27.52 / $49.79	Professional	TC	$18.14	$27.52	$49.79
United Facility/Professional Facility Modifier Low / Median / High Price $101.63 / $130.21 / $137.43	Facility		$101.63	$130.21	$137.43
United Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $34.00 / $58.50	Professional		$26.66	$34.00	$58.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.72 / $9.60 / $16.55	Professional	26	$7.72	$9.60	$16.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.07 / $24.50 / $42.85	Professional	TC	$18.07	$24.50	$42.85