Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $10.47 / $25.70	Facility	26	$7.08	$10.47	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $36.31 / $109.65	Professional		$14.45	$36.31	$109.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $14.13 / $38.90	Professional	26	$7.08	$14.13	$38.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $32.36 / $102.33 / $251.19	Professional	50	$32.36	$102.33	$251.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $27.54 / $66.07	Professional	TC	$18.20	$27.54	$66.07
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $8.91 / $8.91	Facility	26	$8.91	$8.91	$8.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $64.57	Professional		$25.12	$34.67	$64.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.47 / $18.20	Professional	26	$7.08	$10.47	$18.20
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $38.02 / $50.12 / $93.33	Professional	50	$38.02	$50.12	$93.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $24.55 / $47.86	Professional	TC	$17.78	$24.55	$47.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.95 / $10.47 / $25.12	Facility	26	$1.95	$10.47	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $39.81 / $83.18	Professional		$24.55	$39.81	$83.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $11.22 / $21.88	Professional	26	$6.76	$11.22	$21.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $28.84 / $64.57	Professional	TC	$17.38	$28.84	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $31.62 / $61.66	Professional		$23.99	$31.62	$61.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $8.71 / $16.98	Professional	26	$6.76	$8.71	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $22.91 / $44.67	Professional	TC	$16.98	$22.91	$44.67