Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $213.80 / $389.05	Facility		$125.89	$213.80	$389.05
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $40.74 / $40.74	Facility	26	$40.74	$40.74	$40.74
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $85.11 / $239.88 / $302.00	Facility	TC	$85.11	$239.88	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $28.84 / $95.50	Professional		$7.94	$28.84	$95.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $15.49 / $47.86	Professional	26	$7.24	$15.49	$47.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $16.98 / $56.23 / $151.36	Professional	50	$16.98	$56.23	$151.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $28.84 / $72.44	Professional	TC	$15.14	$28.84	$72.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $138.04 / $194.98	Facility		$93.33	$138.04	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $39.81 / $58.88	Professional		$29.51	$39.81	$58.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $9.55 / $17.38	Professional	26	$6.61	$9.55	$17.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $30.20 / $39.81	Professional	TC	$20.89	$30.20	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $173.78 / $302.00	Facility		$114.82	$173.78	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $47.86 / $64.57	Professional		$23.99	$47.86	$64.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $14.13 / $17.38	Professional	26	$6.61	$14.13	$17.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $36.31 / $57.54	Professional	TC	$16.22	$36.31	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $34.67 / $54.95	Professional		$24.55	$34.67	$54.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.33 / $15.49	Professional	26	$7.94	$9.33	$15.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $28.84 / $47.86	Professional	TC	$16.98	$28.84	$47.86