Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $186.21 / $467.74	Facility		$38.90	$186.21	$467.74
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.92 / $10.47 / $27.54	Facility	26	$6.92	$10.47	$27.54
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.91 / $66.07 / $338.84	Facility	TC	$22.91	$66.07	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $36.31 / $114.82	Professional		$14.45	$36.31	$114.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $13.18 / $38.90	Professional	26	$7.08	$13.18	$38.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $33.11 / $79.43 / $295.12	Professional	50	$33.11	$79.43	$295.12
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.49 / $28.18 / $63.10	Professional	52	$13.49	$28.18	$63.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $26.30 / $63.10	Professional	TC	$18.20	$26.30	$63.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $79.43 / $269.15	Facility		$26.92	$79.43	$269.15
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $8.91 / $8.91	Facility	26	$8.91	$8.91	$8.91
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $22.39 / $22.39 / $22.39	Facility	TC	$22.39	$22.39	$22.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $34.67 / $64.57	Professional		$24.55	$34.67	$64.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $10.23 / $18.20	Professional	26	$6.61	$10.23	$18.20
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $37.15 / $50.12 / $95.50	Professional	50	$37.15	$50.12	$95.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $24.55 / $47.86	Professional	TC	$16.98	$24.55	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $87.10 / $269.15	Facility		$34.67	$87.10	$269.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.86 / $10.00 / $23.99	Facility	26	$1.86	$10.00	$23.99
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $5.62 / $30.20 / $81.28	Facility	TC	$5.62	$30.20	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $39.81 / $81.28	Professional		$23.99	$39.81	$81.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $10.96 / $21.88	Professional	26	$6.46	$10.96	$21.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $28.84 / $64.57	Professional	TC	$17.78	$28.84	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $104.71 / $251.19	Facility		$19.05	$104.71	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $61.66	Professional		$23.99	$32.36	$61.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $8.71 / $16.60	Professional	26	$6.61	$8.71	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.44 / $45.71	Professional	TC	$16.98	$23.44	$45.71