Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $85.11 / $257.04	Facility		$21.88	$85.11	$257.04
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.00 / $3.89 / $14.79	Facility	26	$2.00	$3.89	$14.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $30.20 / $83.18	Professional		$18.20	$30.20	$83.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.00 / $3.24 / $16.60	Professional	26	$2.00	$3.24	$16.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.18 / $77.62 / $229.09	Professional	50	$69.18	$77.62	$229.09
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $16.60 / $40.74 / $41.69	Professional	52	$16.60	$40.74	$41.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $21.88 / $45.71	Professional	TC	$15.14	$21.88	$45.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $134.90 / $165.96	Facility		$11.48	$134.90	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $33.88 / $70.79	Professional		$19.50	$33.88	$70.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $2.75 / $5.25 / $18.62	Professional	26	$2.75	$5.25	$18.62
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $28.84 / $47.86 / $104.71	Professional	50	$28.84	$47.86	$104.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $26.92 / $56.23	Professional	TC	$16.22	$26.92	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $60.26 / $128.82	Facility		$34.67	$60.26	$128.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $0.72 / $3.89 / $8.71	Facility	26	$0.72	$3.89	$8.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $38.02 / $75.86	Professional		$20.42	$38.02	$75.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.88 / $5.50 / $14.13	Professional	26	$2.88	$5.50	$14.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $30.90 / $61.66	Professional	TC	$17.78	$30.90	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $54.95 / $141.25	Facility		$11.48	$54.95	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $28.18 / $57.54	Professional		$18.62	$28.18	$57.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.75 / $4.07 / $12.59	Professional	26	$2.75	$4.07	$12.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $23.44 / $44.67	Professional	TC	$15.85	$23.44	$44.67