Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $239.88 / $575.44	Facility		$53.70	$239.88	$575.44
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $10.72 / $34.67	Facility	26	$7.08	$10.72	$34.67
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.54 / $165.96 / $562.34	Facility	TC	$27.54	$165.96	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $42.66 / $125.89	Professional		$9.33	$42.66	$125.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $14.45 / $46.77	Professional	26	$7.08	$14.45	$46.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $22.91 / $85.11 / $208.93	Professional	50	$22.91	$85.11	$208.93
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $22.39 / $61.66 / $208.93	Professional	52	$22.39	$61.66	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $38.90 / $89.13	Professional	TC	$20.89	$38.90	$89.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $85.11 / $269.15	Facility		$29.51	$85.11	$269.15
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $8.91 / $8.91	Facility	26	$8.91	$8.91	$8.91
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $21.38 / $21.38 / $21.38	Facility	TC	$21.38	$21.38	$21.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $69.18	Professional		$26.92	$36.31	$69.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.96 / $18.62	Professional	26	$7.08	$10.96	$18.62
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $40.74 / $52.48 / $100.00	Professional	50	$40.74	$52.48	$100.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $26.30 / $51.29	Professional	TC	$18.62	$26.30	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $93.33 / $269.15	Facility		$37.15	$93.33	$269.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.95 / $10.47 / $25.12	Facility	26	$1.95	$10.47	$25.12
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $6.03 / $32.36 / $87.10	Facility	TC	$6.03	$32.36	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $41.69 / $87.10	Professional		$25.70	$41.69	$87.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $11.48 / $22.39	Professional	26	$6.76	$11.48	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $31.62 / $69.18	Professional	TC	$19.05	$31.62	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $104.71 / $251.19	Facility		$20.42	$104.71	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $64.57	Professional		$25.70	$33.11	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $9.12 / $16.98	Professional	26	$6.92	$9.12	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $24.55 / $47.86	Professional	TC	$18.62	$24.55	$47.86