Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $177.83 / $302.00	Facility		$66.07	$177.83	$302.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $34.67 / $100.00	Facility	26	$28.84	$34.67	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $154.88	Professional		$50.12	$70.79	$154.88
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $81.28 / $81.28 / $81.28	Professional	25	$81.28	$81.28	$81.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $26.92 / $79.43	Professional	26	$19.95	$26.92	$79.43
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $117.49 / $389.05 / $436.52	Professional	50	$117.49	$389.05	$436.52
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $50.12 / $234.42 / $257.04	Professional	52	$50.12	$234.42	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $34.67 / $61.66	Professional	TC	$25.70	$34.67	$61.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $112.20 / $380.19	Facility		$69.18	$112.20	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $74.13 / $147.91	Professional		$51.29	$74.13	$147.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $29.51 / $58.88	Professional	26	$21.38	$29.51	$58.88
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $79.43 / $109.65 / $204.17	Professional	50	$79.43	$109.65	$204.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $43.65 / $89.13	Professional	TC	$30.90	$43.65	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $100.00 / $234.42	Facility		$97.72	$100.00	$234.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.46 / $33.88 / $69.18	Facility	26	$6.46	$33.88	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $81.28 / $165.96	Professional		$48.98	$81.28	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $32.36 / $69.18	Professional	26	$20.89	$32.36	$69.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $48.98 / $102.33	Professional	TC	$28.18	$48.98	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $43.65 / $371.54	Facility		$15.14	$43.65	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $109.65	Professional		$44.67	$64.57	$109.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $26.30 / $44.67	Professional	26	$18.62	$26.30	$44.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $37.15 / $66.07	Professional	TC	$26.30	$37.15	$66.07