Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.88 / $264.60 / $405.86	Facility		$147.88	$264.60	$405.86
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.23 / $51.23 / $51.23	Facility	26	$51.23	$51.23	$51.23
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $147.88 / $308.00 / $581.70	Facility	TC	$147.88	$308.00	$581.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $44.75 / $124.39	Professional		$18.19	$44.75	$124.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.23 / $8.33 / $45.00	Professional	26	$6.23	$8.33	$45.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $65.48 / $65.48 / $119.52	Professional	50	$65.48	$65.48	$119.52
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.34 / $15.93 / $15.97	Professional	52	$11.34	$15.93	$15.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.45 / $23.61 / $31.69	Professional	TC	$16.45	$23.61	$31.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.37 / $140.30 / $197.47	Facility		$93.37	$140.30	$197.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $42.60 / $64.17	Professional		$38.36	$42.60	$64.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.94 / $9.91 / $15.80	Professional	26	$6.94	$9.91	$15.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.88 / $32.69 / $33.78	Professional	TC	$22.88	$32.69	$33.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.51 / $173.34 / $304.72	Facility		$122.51	$173.34	$304.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.50 / $52.16 / $76.27	Professional		$30.50	$52.16	$76.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.07 / $11.97 / $17.14	Professional	26	$7.07	$11.97	$17.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.36 / $40.19 / $59.90	Professional	TC	$22.36	$40.19	$59.90
United Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $41.56 / $64.92	Professional		$25.40	$41.56	$64.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.93 / $10.70 / $17.16	Professional	26	$7.93	$10.70	$17.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.47 / $30.86 / $62.76	Professional	TC	$17.47	$30.86	$62.76