Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.97 / $174.13 / $402.70	Facility		$36.97	$174.13	$402.70
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.15 / $9.38 / $14.23	Facility	26	$7.15	$9.38	$14.23
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.17 / $66.81 / $275.75	Facility	TC	$22.17	$66.81	$275.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $30.16 / $90.00	Professional		$21.82	$30.16	$90.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.65 / $8.07 / $31.88	Professional	26	$6.65	$8.07	$31.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $47.37 / $76.58 / $94.79	Professional	50	$47.37	$76.58	$94.79
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.86 / $13.74 / $21.87	Professional	52	$10.86	$13.74	$21.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.34 / $20.74 / $42.20	Professional	TC	$17.34	$20.74	$42.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.31 / $98.92 / $158.83	Facility		$53.31	$98.92	$158.83
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $8.19 / $8.19 / $8.19	Facility	26	$8.19	$8.19	$8.19
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $18.95 / $18.95 / $18.95	Facility	TC	$18.95	$18.95	$18.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $32.11 / $52.96	Professional		$24.75	$32.11	$52.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.12 / $10.03 / $14.97	Professional	26	$7.12	$10.03	$14.97
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $37.05 / $45.40 / $75.86	Professional	50	$37.05	$45.40	$75.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.93 / $23.89 / $39.09	Professional	TC	$17.93	$23.89	$39.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $88.80 / $209.10	Facility		$38.00	$88.80	$209.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.51 / $8.51 / $8.51	Facility	26	$8.51	$8.51	$8.51
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $23.86 / $23.86 / $23.86	Facility	TC	$23.86	$23.86	$23.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.48 / $35.99 / $60.49	Professional		$23.48	$35.99	$60.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.66 / $10.60 / $17.14	Professional	26	$6.66	$10.60	$17.14
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.13 / $35.13 / $39.76	Professional	50	$35.13	$35.13	$39.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.61 / $25.83 / $44.19	Professional	TC	$17.61	$25.83	$44.19
United Facility/Professional Facility Modifier Low / Median / High Price $61.68 / $69.68 / $117.99	Facility		$61.68	$69.68	$117.99
United Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $32.13 / $54.96	Professional		$25.25	$32.13	$54.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.27 / $9.01 / $15.88	Professional	26	$7.27	$9.01	$15.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.85 / $21.88 / $38.74	Professional	TC	$17.85	$21.88	$38.74