Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $154.88 / $398.11	Facility		$47.86	$154.88	$398.11
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $36.31 / $85.11	Facility	26	$25.12	$36.31	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $77.62 / $194.98	Professional		$38.90	$77.62	$194.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $36.31 / $95.50	Professional	26	$26.92	$36.31	$95.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $51.29 / $120.23 / $331.13	Professional	50	$51.29	$120.23	$331.13
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $16.22 / $20.89 / $43.65	Professional	52	$16.22	$20.89	$43.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $32.36 / $102.33	Professional	TC	$15.14	$32.36	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $407.38 / $549.54	Facility		$30.20	$407.38	$549.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $77.62 / $141.25	Professional		$53.70	$77.62	$141.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $37.15 / $57.54	Professional	26	$26.30	$37.15	$57.54
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $117.49 / $204.17	Professional	50	$81.28	$117.49	$204.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $43.65 / $89.13	Professional	TC	$21.88	$43.65	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $97.72 / $177.83	Facility		$74.13	$97.72	$177.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.24 / $38.02 / $93.33	Facility	26	$7.24	$38.02	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $93.33 / $165.96	Professional		$46.77	$93.33	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $40.74 / $83.18	Professional	26	$26.92	$40.74	$83.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $51.29 / $95.50	Professional	TC	$17.38	$51.29	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $199.53 / $501.19	Facility		$34.67	$199.53	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $77.62 / $138.04	Professional		$51.29	$77.62	$138.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $33.11 / $60.26	Professional	26	$23.99	$33.11	$60.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $42.66 / $81.28	Professional	TC	$23.99	$42.66	$81.28