Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $177.83 / $478.63	Facility		$35.48	$177.83	$478.63
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.31 / $9.77 / $23.44	Facility	26	$6.31	$9.77	$23.44
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.42 / $61.66 / $380.19	Facility	TC	$20.42	$61.66	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $37.15 / $112.20	Professional		$16.98	$37.15	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $14.45 / $42.66	Professional	26	$6.03	$14.45	$42.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $24.55 / $85.11 / $257.04	Professional	50	$24.55	$85.11	$257.04
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.49 / $31.62 / $158.49	Professional	52	$15.49	$31.62	$158.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $23.44 / $61.66	Professional	TC	$15.85	$23.44	$61.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $67.61 / $269.15	Facility		$25.70	$67.61	$269.15
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $8.13 / $8.13	Facility	26	$8.13	$8.13	$8.13
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $19.05 / $19.05 / $19.05	Facility	TC	$19.05	$19.05	$19.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $32.36 / $58.88	Professional		$23.44	$32.36	$58.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $9.77 / $17.38	Professional	26	$6.46	$9.77	$17.38
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $36.31 / $45.71 / $85.11	Professional	50	$36.31	$45.71	$85.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $22.91 / $42.66	Professional	TC	$16.60	$22.91	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $77.62 / $263.03	Facility		$31.62	$77.62	$263.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.82 / $9.55 / $22.91	Facility	26	$1.82	$9.55	$22.91
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $4.90 / $26.30 / $70.79	Facility	TC	$4.90	$26.30	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $37.15 / $72.44	Professional		$22.39	$37.15	$72.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $10.47 / $20.42	Professional	26	$6.17	$10.47	$20.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $26.30 / $56.23	Professional	TC	$16.22	$26.30	$56.23
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 $21.88 / $28.84 / $54.95	Professional		$21.88	$28.84	$54.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $8.32 / $15.49	Professional	26	$6.31	$8.32	$15.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $20.42 / $39.81	Professional	TC	$15.49	$20.42	$39.81