Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $229.09 / $245.47	Facility		$93.33	$229.09	$245.47
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $38.02 / $38.02	Facility	26	$38.02	$38.02	$38.02
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $100.00 / $234.42 / $239.88	Facility	TC	$100.00	$234.42	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $33.88 / $89.13	Professional		$14.79	$33.88	$89.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $15.85 / $45.71	Professional	26	$6.46	$15.85	$45.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $16.98 / $85.11 / $154.88	Professional	50	$16.98	$85.11	$154.88
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.88 / $22.39 / $44.67	Professional	52	$12.88	$22.39	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $22.39 / $53.70	Professional	TC	$14.13	$22.39	$53.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $138.04 / $194.98	Facility		$93.33	$138.04	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $35.48 / $58.88	Professional		$26.30	$35.48	$58.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $9.12 / $15.14	Professional	26	$6.31	$9.12	$15.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $26.30 / $34.67	Professional	TC	$18.62	$26.30	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $173.78 / $302.00	Facility		$102.33	$173.78	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $42.66 / $58.88	Professional		$23.44	$42.66	$58.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $13.49 / $16.22	Professional	26	$6.17	$13.49	$16.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $37.15 / $50.12	Professional	TC	$16.60	$37.15	$50.12
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 $23.44 / $32.36 / $50.12	Professional		$23.44	$32.36	$50.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $9.33 / $15.49	Professional	26	$7.24	$9.33	$15.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $25.70 / $42.66	Professional	TC	$16.22	$25.70	$42.66