Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.05 / $286.16 / $631.50	Facility		$88.05	$286.16	$631.50
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.29 / $38.95 / $68.39	Facility	26	$31.29	$38.95	$68.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.05 / $94.15 / $342.71	Professional		$70.05	$94.15	$342.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.16 / $39.88 / $120.63	Professional	26	$29.16	$39.88	$120.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $108.33 / $219.38 / $646.50	Professional	50	$108.33	$219.38	$646.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.45 / $56.07 / $132.63	Professional	TC	$45.45	$56.07	$132.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.36 / $256.00 / $425.03	Facility		$159.36	$256.00	$425.03
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $36.09 / $36.09 / $36.09	Facility	26	$36.09	$36.09	$36.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.64 / $99.20 / $163.50	Professional		$80.64	$99.20	$163.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.24 / $38.78 / $63.30	Professional	26	$31.24	$38.78	$63.30
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $119.83 / $147.51 / $238.03	Professional	50	$119.83	$147.51	$238.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.47 / $62.30 / $101.18	Professional	TC	$50.47	$62.30	$101.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.07 / $173.34 / $292.39	Facility		$95.07	$173.34	$292.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.03 / $37.03 / $37.03	Facility	26	$37.03	$37.03	$37.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.56 / $112.57 / $191.42	Professional		$73.56	$112.57	$191.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.52 / $44.59 / $74.91	Professional	26	$29.52	$44.59	$74.91
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $113.75 / $113.75 / $129.22	Professional	50	$113.75	$113.75	$129.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.17 / $70.30 / $118.30	Professional	TC	$45.17	$70.30	$118.30
United Facility/Professional Facility Modifier Low / Median / High Price $99.68 / $133.82 / $182.03	Facility		$99.68	$133.82	$182.03
United Facility/Professional Professional Modifier Low / Median / High Price $81.34 / $97.18 / $169.67	Professional		$81.34	$97.18	$169.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.19 / $38.61 / $67.38	Professional	26	$31.19	$38.61	$67.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.59 / $59.63 / $104.84	Professional	TC	$48.59	$59.63	$104.84