Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.22 / $158.10 / $313.26	Facility		$47.22	$158.10	$313.26
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.30 / $23.01 / $30.84	Facility	26	$21.30	$23.01	$30.84
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.44 / $271.83 / $357.73	Facility	TC	$24.44	$271.83	$357.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $70.14 / $115.09	Professional		$34.20	$70.14	$115.09
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $71.59 / $71.59 / $71.59	Professional	25	$71.59	$71.59	$71.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.32 / $24.32 / $56.96	Professional	26	$19.32	$24.32	$56.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $234.74 / $234.74 / $281.35	Professional	50	$234.74	$234.74	$281.35
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.48 / $20.68 / $40.33	Professional	52	$15.48	$20.68	$40.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.49 / $30.79 / $80.70	Professional	TC	$14.49	$30.79	$80.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.19 / $327.00 / $484.30	Facility		$94.19	$327.00	$484.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.43 / $58.65 / $106.70	Professional		$38.43	$58.65	$106.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.60 / $24.88 / $40.96	Professional	26	$18.60	$24.88	$40.96
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $52.13 / $74.59 / $151.99	Professional	50	$52.13	$74.59	$151.99
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.04 / $33.65 / $72.32	Professional	TC	$16.04	$33.65	$72.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $41.38 / $57.36	Facility		$41.38	$41.38	$57.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.35 / $23.35 / $23.35	Facility	26	$23.35	$23.35	$23.35
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $18.64 / $18.64 / $18.64	Facility	TC	$18.64	$18.64	$18.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $76.06 / $127.97	Professional		$38.64	$76.06	$127.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.05 / $28.85 / $49.65	Professional	26	$20.05	$28.85	$49.65
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $76.11 / $76.11 / $76.11	Professional	50	$76.11	$76.11	$76.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.39 / $45.16 / $83.23	Professional	TC	$17.39	$45.16	$83.23
United Facility/Professional Facility Modifier Low / Median / High Price $34.02 / $34.02 / $42.49	Facility		$34.02	$34.02	$42.49
United Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $64.76 / $117.04	Professional		$42.71	$64.76	$117.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.80 / $26.54 / $44.14	Professional	26	$19.80	$26.54	$44.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.92 / $37.42 / $73.77	Professional	TC	$20.92	$37.42	$73.77