Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $489.78 / $1,047.13	Facility		$131.83	$489.78	$1,047.13
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $30.20 / $70.79	Facility	26	$21.38	$30.20	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $147.91 / $457.09	Professional		$52.48	$147.91	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $33.11 / $89.13	Professional	26	$20.89	$33.11	$89.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $50.12 / $50.12 / $50.12	Professional	50	$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $120.23 / $245.47	Professional	TC	$95.50	$120.23	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $338.84 / $446.68	Facility		$144.54	$338.84	$446.68
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $26.30 / $26.30	Facility	26	$26.30	$26.30	$26.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $295.12	Professional		$104.71	$151.36	$295.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $25.70 / $45.71	Professional	26	$18.62	$25.70	$45.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $128.82 / $239.88	Professional	TC	$83.18	$128.82	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $275.42 / $588.84	Facility		$114.82	$275.42	$588.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.50 / $29.51 / $70.79	Facility	26	$5.50	$29.51	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $416.87	Professional		$138.04	$218.78	$416.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $30.20 / $63.10	Professional	26	$20.89	$30.20	$63.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $190.55 / $363.08	Professional	TC	$117.49	$190.55	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $177.83 / $389.05	Facility		$30.90	$177.83	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $331.13	Professional		$128.82	$186.21	$331.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $26.30 / $50.12	Professional	26	$19.05	$26.30	$50.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $162.18 / $288.40	Professional	TC	$109.65	$162.18	$288.40