Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.22 / $166.73 / $406.69	Facility		$39.22	$166.73	$406.69
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.48 / $9.67 / $14.40	Facility	26	$7.48	$9.67	$14.40
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.57 / $51.12 / $278.44	Facility	TC	$24.57	$51.12	$278.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $31.31 / $83.64	Professional		$20.92	$31.31	$83.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.00 / $8.56 / $26.14	Professional	26	$7.00	$8.56	$26.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.70 / $65.48 / $111.19	Professional	50	$48.70	$65.48	$111.19
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.10 / $15.42 / $24.33	Professional	52	$12.10	$15.42	$24.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.53 / $22.98 / $45.59	Professional	TC	$18.53	$22.98	$45.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.10 / $102.98 / $165.31	Facility		$54.10	$102.98	$165.31
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 $22.25 / $22.25 / $22.25	Facility	TC	$22.25	$22.25	$22.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $36.12 / $58.43	Professional		$27.94	$36.12	$58.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.44 / $10.58 / $15.83	Professional	26	$7.44	$10.58	$15.83
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $37.30 / $49.68 / $80.43	Professional	50	$37.30	$49.68	$80.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.17 / $26.42 / $44.21	Professional	TC	$20.17	$26.42	$44.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $98.08 / $209.10	Facility		$42.90	$98.08	$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 $27.59 / $27.59 / $27.59	Facility	TC	$27.59	$27.59	$27.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $39.32 / $67.95	Professional		$26.06	$39.32	$67.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.06 / $11.18 / $18.03	Professional	26	$7.06	$11.18	$18.03
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $40.11 / $40.11 / $45.51	Professional	50	$40.11	$40.11	$45.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $28.16 / $51.17	Professional	TC	$18.62	$28.16	$51.17
United Facility/Professional Facility Modifier Low / Median / High Price $83.32 / $126.61 / $180.80	Facility		$83.32	$126.61	$180.80
United Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $34.69 / $60.78	Professional		$26.33	$34.69	$60.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $9.75 / $17.23	Professional	26	$7.41	$9.75	$17.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.45 / $24.40 / $44.88	Professional	TC	$18.45	$24.40	$44.88