Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.30 / $242.55 / $524.16	Facility		$56.30	$242.55	$524.16
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.76 / $10.68 / $22.25	Facility	26	$7.76	$10.68	$22.25
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.38 / $236.97 / $578.41	Facility	TC	$30.38	$236.97	$578.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $38.44 / $116.12	Professional		$18.19	$38.44	$116.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $10.81 / $41.00	Professional	26	$7.33	$10.81	$41.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $32.53 / $81.61 / $123.80	Professional	50	$32.53	$81.61	$123.80
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.77 / $16.14 / $20.63	Professional	52	$12.77	$16.14	$20.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.32 / $27.82 / $73.78	Professional	TC	$21.32	$27.82	$73.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.31 / $116.55 / $186.85	Facility		$52.31	$116.55	$186.85
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $8.93 / $8.93 / $8.93	Facility	26	$8.93	$8.93	$8.93
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $21.52 / $21.52 / $21.52	Facility	TC	$21.52	$21.52	$21.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.30 / $38.45 / $63.11	Professional		$28.30	$38.45	$63.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.96 / $16.29	Professional	26	$7.76	$10.96	$16.29
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $40.83 / $52.08 / $86.41	Professional	50	$40.83	$52.08	$86.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.11 / $28.45 / $47.30	Professional	TC	$22.11	$28.45	$47.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.25 / $102.35 / $212.44	Facility		$46.25	$102.35	$212.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $9.25 / $9.25	Facility	26	$9.25	$9.25	$9.25
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $29.46 / $29.46 / $29.46	Facility	TC	$29.46	$29.46	$29.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $41.38 / $72.23	Professional		$27.37	$41.38	$72.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.27 / $11.59 / $19.00	Professional	26	$7.27	$11.59	$19.00
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $40.56 / $40.56 / $46.03	Professional	50	$40.56	$40.56	$46.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.50 / $30.04 / $53.70	Professional	TC	$20.50	$30.04	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $92.31 / $138.54 / $182.03	Facility		$92.31	$138.54	$182.03
United Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $36.77 / $64.92	Professional		$28.92	$36.77	$64.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.93 / $9.92 / $17.19	Professional	26	$7.93	$9.92	$17.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.41 / $26.48 / $46.63	Professional	TC	$20.41	$26.48	$46.63