Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $263.03 / $407.38	Facility		$173.78	$263.03	$407.38
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $40.74 / $40.74	Facility	26	$40.74	$40.74	$40.74
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $128.82 / $309.03 / $575.44	Facility	TC	$128.82	$309.03	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $37.15 / $97.72	Professional		$8.32	$37.15	$97.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $14.13 / $50.12	Professional	26	$7.41	$14.13	$50.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $17.78 / $77.62 / $194.98	Professional	50	$17.78	$77.62	$194.98
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $95.50 / $95.50 / $95.50	Professional	52	$95.50	$95.50	$95.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $34.67 / $79.43	Professional	TC	$16.98	$34.67	$79.43
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 $31.62 / $42.66 / $67.61	Professional		$31.62	$42.66	$67.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $10.00 / $16.60	Professional	26	$6.92	$10.00	$16.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $32.36 / $43.65	Professional	TC	$22.91	$32.36	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $173.78 / $302.00	Facility		$125.89	$173.78	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $52.48 / $70.79	Professional		$26.30	$52.48	$70.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $14.79 / $17.78	Professional	26	$6.76	$14.79	$17.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $42.66 / $61.66	Professional	TC	$19.05	$42.66	$61.66
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 $25.12 / $37.15 / $58.88	Professional		$25.12	$37.15	$58.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.77 / $15.85	Professional	26	$7.94	$9.77	$15.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $30.90 / $52.48	Professional	TC	$17.38	$30.90	$52.48