Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.11 / $267.67 / $539.44	Facility		$62.11	$267.67	$539.44
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.08 / $10.42 / $21.18	Facility	26	$8.08	$10.42	$21.18
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $31.71 / $210.74 / $448.94	Facility	TC	$31.71	$210.74	$448.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $37.75 / $117.00	Professional		$14.87	$37.75	$117.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $11.06 / $41.36	Professional	26	$7.33	$11.06	$41.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.00 / $104.35 / $112.99	Professional	50	$48.00	$104.35	$112.99
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.64 / $17.50 / $22.08	Professional	52	$13.64	$17.50	$22.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $28.83 / $69.97	Professional	TC	$21.94	$28.83	$69.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.80 / $118.52 / $194.52	Facility		$56.80	$118.52	$194.52
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $23.71 / $23.71 / $23.71	Facility	TC	$23.71	$23.71	$23.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $41.06 / $69.59	Professional		$30.17	$41.06	$69.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $11.40 / $17.01	Professional	26	$8.09	$11.40	$17.01
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $42.50 / $60.26 / $91.98	Professional	50	$42.50	$60.26	$91.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.54 / $29.56 / $53.95	Professional	TC	$22.54	$29.56	$53.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.52 / $107.42 / $220.38	Facility		$49.52	$107.42	$220.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $9.61	Facility	26	$9.61	$9.61	$9.61
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $31.68 / $31.68 / $31.68	Facility	TC	$31.68	$31.68	$31.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $43.69 / $77.11	Professional		$29.29	$43.69	$77.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $11.92 / $19.27	Professional	26	$7.59	$11.92	$19.27
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.28 / $43.28 / $49.18	Professional	50	$43.28	$43.28	$49.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.97 / $32.06 / $57.66	Professional	TC	$20.97	$32.06	$57.66
United Facility/Professional Facility Modifier Low / Median / High Price $38.34 / $47.66 / $159.62	Facility		$38.34	$47.66	$159.62
United Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $38.46 / $67.54	Professional		$29.38	$38.46	$67.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.03 / $10.19 / $18.00	Professional	26	$8.03	$10.19	$18.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.00 / $28.46 / $49.64	Professional	TC	$21.00	$28.46	$49.64