Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $288.40 / $407.38	Facility		$177.83	$288.40	$407.38
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $40.74 / $40.74	Facility	26	$40.74	$40.74	$40.74
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $89.13 / $239.88 / $309.03	Facility	TC	$89.13	$239.88	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $36.31 / $97.72	Professional		$8.91	$36.31	$97.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $17.38 / $46.77	Professional	26	$7.94	$17.38	$46.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.50 / $70.79 / $186.21	Professional	50	$19.50	$70.79	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $34.67 / $79.43	Professional	TC	$17.78	$34.67	$79.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $141.25 / $204.17	Facility		$93.33	$141.25	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $45.71 / $70.79	Professional		$33.88	$45.71	$70.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $10.23 / $17.38	Professional	26	$7.24	$10.23	$17.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $34.67 / $47.86	Professional	TC	$24.55	$34.67	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $173.78 / $302.00	Facility		$138.04	$173.78	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $56.23 / $75.86	Professional		$28.18	$56.23	$75.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $15.49 / $18.20	Professional	26	$7.08	$15.49	$18.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $45.71 / $67.61	Professional	TC	$20.42	$45.71	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.90 / $64.57	Professional		$25.12	$38.90	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.23 / $16.60	Professional	26	$7.94	$10.23	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $33.11 / $57.54	Professional	TC	$17.38	$33.11	$57.54