Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.16 / $213.31 / $387.30	Facility		$127.16	$213.31	$387.30
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.11 / $49.11 / $49.11	Facility	26	$49.11	$49.11	$49.11
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $85.12 / $238.85 / $298.58	Facility	TC	$85.12	$238.85	$298.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $27.76 / $107.74	Professional		$17.98	$27.76	$107.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.52 / $9.52 / $44.75	Professional	26	$6.52	$9.52	$44.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $112.62 / $112.62 / $112.62	Professional	50	$112.62	$112.62	$112.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $19.50 / $22.96	Professional	TC	$14.13	$19.50	$22.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.37 / $140.30 / $197.47	Facility		$93.37	$140.30	$197.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.01 / $39.65 / $56.13	Professional		$35.01	$39.65	$56.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.65 / $9.50 / $16.47	Professional	26	$6.65	$9.50	$16.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.13 / $30.18 / $30.36	Professional	TC	$21.13	$30.18	$30.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.21 / $173.34 / $304.72	Facility		$111.21	$173.34	$304.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $47.59 / $70.29	Professional		$26.95	$47.59	$70.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.77 / $11.47 / $16.43	Professional	26	$6.77	$11.47	$16.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.38 / $36.11 / $54.57	Professional	TC	$20.38	$36.11	$54.57
United Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $38.84 / $60.48	Professional		$24.75	$38.84	$60.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.69 / $10.25 / $16.48	Professional	26	$7.69	$10.25	$16.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.62 / $28.59 / $53.84	Professional	TC	$16.62	$28.59	$53.84