Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $199.53 / $501.19	Facility		$43.65	$199.53	$501.19
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $26.30 / $58.88	Facility	26	$18.20	$26.30	$58.88
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.20 / $229.09 / $416.87	Facility	TC	$18.20	$229.09	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $70.79 / $147.91	Professional		$32.36	$70.79	$147.91
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $50.12 / $70.79 / $70.79	Professional	25	$50.12	$70.79	$70.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $25.70 / $66.07	Professional	26	$18.20	$25.70	$66.07
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $234.42 / $338.84	Professional	50	$81.28	$234.42	$338.84
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.20 / $43.65 / $154.88	Professional	52	$30.20	$43.65	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $25.70 / $95.50	Professional	TC	$12.88	$25.70	$95.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,365.16 / $12,022.64	Facility		$1,621.81	$4,365.16	$12,022.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $61.66 / $120.23	Professional		$30.90	$61.66	$120.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $24.55 / $48.98	Professional	26	$16.60	$24.55	$48.98
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $46.77 / $87.10 / $173.78	Professional	50	$46.77	$87.10	$173.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $33.88 / $77.62	Professional	TC	$14.45	$33.88	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $83.18 / $218.78	Facility		$44.67	$83.18	$218.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.01 / $26.30 / $66.07	Facility	26	$5.01	$26.30	$66.07
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $3.80 / $20.42 / $54.95	Facility	TC	$3.80	$20.42	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $77.62 / $141.25	Professional		$37.15	$77.62	$141.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $30.20 / $58.88	Professional	26	$19.50	$30.20	$58.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $45.71 / $87.10	Professional	TC	$16.60	$45.71	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $186.21 / $501.19	Facility		$28.18	$186.21	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $61.66 / $112.20	Professional		$38.02	$61.66	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $24.55 / $43.65	Professional	26	$17.78	$24.55	$43.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $34.67 / $72.44	Professional	TC	$19.05	$34.67	$72.44