Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.79 / $346.79 / $346.79	Facility		$346.79	$346.79	$346.79
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $693.58 / $693.58 / $693.58	Facility	TC	$693.58	$693.58	$693.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $80.66 / $165.00	Professional		$42.30	$80.66	$165.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.00 / $23.21 / $92.53	Professional	26	$18.00	$23.21	$92.53
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 $16.25 / $40.33 / $46.67	Professional	52	$16.25	$40.33	$46.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.49 / $55.64 / $64.63	Professional	TC	$14.49	$55.64	$64.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.36 / $233.23 / $277.60	Facility		$98.36	$233.23	$277.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $36.65 / $142.96	Professional		$36.65	$36.65	$142.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.18 / $20.26 / $43.35	Professional	26	$14.18	$20.26	$43.35
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.49 / $16.41 / $21.58	Professional	TC	$11.49	$16.41	$21.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.10 / $135.10 / $135.10	Facility		$135.10	$135.10	$135.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $69.48 / $101.88	Professional		$38.64	$69.48	$101.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.41 / $25.32 / $43.70	Professional	26	$17.41	$25.32	$43.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.18 / $31.44 / $60.64	Professional	TC	$17.18	$31.44	$60.64
United Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $62.70 / $98.12	Professional		$27.10	$62.70	$98.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.35 / $27.26 / $36.57	Professional	26	$21.35	$27.26	$36.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.75 / $34.92 / $59.05	Professional	TC	$20.75	$34.92	$59.05