Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $251.19 / $602.56	Facility		$52.48	$251.19	$602.56
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.24 / $10.96 / $30.20	Facility	26	$7.24	$10.96	$30.20
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.84 / $144.54 / $512.86	Facility	TC	$28.84	$144.54	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $40.74 / $125.89	Professional		$10.47	$40.74	$125.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $14.79 / $46.77	Professional	26	$7.76	$14.79	$46.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $34.67 / $91.20 / $213.80	Professional	50	$34.67	$91.20	$213.80
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.79 / $30.90 / $125.89	Professional	52	$14.79	$30.90	$125.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $39.81 / $87.10	Professional	TC	$21.88	$39.81	$87.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $93.33 / $269.15	Facility		$30.90	$93.33	$269.15
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $9.33 / $9.33	Facility	26	$9.33	$9.33	$9.33
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $23.44 / $23.44 / $23.44	Facility	TC	$23.44	$23.44	$23.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.90 / $72.44	Professional		$27.54	$38.90	$72.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.22 / $19.05	Professional	26	$7.41	$11.22	$19.05
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $41.69 / $57.54 / $107.15	Professional	50	$41.69	$57.54	$107.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $28.18 / $56.23	Professional	TC	$19.50	$28.18	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $81.28 / $257.04	Facility		$31.62	$81.28	$257.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.04 / $10.96 / $26.30	Facility	26	$2.04	$10.96	$26.30
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $6.46 / $34.67 / $93.33	Facility	TC	$6.46	$34.67	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $44.67 / $93.33	Professional		$26.92	$44.67	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $11.75 / $22.91	Professional	26	$6.92	$11.75	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $33.11 / $74.13	Professional	TC	$20.42	$33.11	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $104.71 / $251.19	Facility		$20.42	$104.71	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $35.48 / $69.18	Professional		$26.30	$35.48	$69.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.33 / $17.78	Professional	26	$7.08	$9.33	$17.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $26.30 / $51.29	Professional	TC	$19.05	$26.30	$51.29