Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $281.84 / $660.69	Facility		$87.10	$281.84	$660.69
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $41.69 / $114.82	Facility	26	$28.84	$41.69	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $97.72 / $380.19	Professional		$51.29	$97.72	$380.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $58.88 / $158.49	Professional	26	$28.84	$58.88	$158.49
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $63.10 / $177.83 / $660.69	Professional	50	$63.10	$177.83	$660.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $58.88 / $177.83	Professional	TC	$42.66	$58.88	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $173.78 / $346.74	Facility		$66.07	$173.78	$346.74
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $36.31 / $36.31	Facility	26	$36.31	$36.31	$36.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $190.55	Professional		$75.86	$102.33	$190.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $38.90 / $70.79	Professional	26	$29.51	$38.90	$70.79
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $117.49 / $147.91 / $251.19	Professional	50	$117.49	$147.91	$251.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $63.10 / $120.23	Professional	TC	$48.98	$63.10	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $181.97 / $380.19	Facility		$79.43	$181.97	$380.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $42.66 / $102.33	Facility	26	$7.94	$42.66	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $114.82 / $223.87	Professional		$69.18	$114.82	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $45.71 / $87.10	Professional	26	$27.54	$45.71	$87.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $72.44 / $144.54	Professional	TC	$42.66	$72.44	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $112.20 / $257.04	Facility		$60.26	$112.20	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $173.78	Professional		$70.79	$93.33	$173.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $36.31 / $67.61	Professional	26	$27.54	$36.31	$67.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $57.54 / $107.15	Professional	TC	$42.66	$57.54	$107.15