Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $302.00 / $389.05	Facility		$181.97	$302.00	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $97.72 / $407.38	Professional		$36.31	$97.72	$407.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $66.07 / $213.80	Professional	26	$30.20	$66.07	$213.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $54.95 / $194.98 / $776.25	Professional	50	$54.95	$194.98	$776.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $60.26 / $177.83	Professional	TC	$42.66	$60.26	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $177.83 / $208.93	Facility		$131.83	$177.83	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $181.97	Professional		$79.43	$107.15	$181.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $39.81 / $60.26	Professional	26	$28.18	$39.81	$60.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $66.07 / $87.10	Professional	TC	$45.71	$66.07	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $269.15 / $302.00	Facility		$173.78	$269.15	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $181.97	Professional		$77.62	$123.03	$181.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $47.86 / $70.79	Professional	26	$30.20	$47.86	$70.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $77.62 / $112.20	Professional	TC	$50.12	$77.62	$112.20
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 $79.43 / $100.00 / $165.96	Professional		$79.43	$100.00	$165.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $38.90 / $63.10	Professional	26	$30.90	$38.90	$63.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $64.57 / $104.71	Professional	TC	$48.98	$64.57	$104.71