Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $288.40 / $524.81	Facility		$51.29	$288.40	$524.81
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $7.59 / $7.59	Facility	26	$7.59	$7.59	$7.59
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $245.47 / $295.12 / $316.23	Facility	TC	$245.47	$295.12	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $30.90 / $79.43	Professional		$7.59	$30.90	$79.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $14.45 / $33.11	Professional	26	$7.08	$14.45	$33.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $33.11 / $33.11 / $56.23	Professional	50	$33.11	$33.11	$56.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $36.31 / $54.95	Professional	TC	$20.42	$36.31	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $125.89	Professional		$81.28	$125.89	$125.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $30.90 / $30.90	Professional	26	$19.95	$30.90	$30.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $95.50 / $95.50	Professional	TC	$61.66	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $50.12 / $77.62	Professional		$26.92	$50.12	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $14.13 / $25.12	Professional	26	$8.51	$14.13	$25.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $34.67 / $53.70	Professional	TC	$17.78	$34.67	$53.70
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 $27.54 / $53.70 / $91.20	Professional		$27.54	$53.70	$91.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $14.45 / $26.30	Professional	26	$8.51	$14.45	$26.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $39.81 / $63.10	Professional	TC	$19.50	$39.81	$63.10