Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.46 / $10.23 / $26.92	Facility	26	$6.46	$10.23	$26.92
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $14.13 / $34.67 / $186.21	Facility	TC	$14.13	$34.67	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $23.99 / $61.66	Professional		$15.14	$23.99	$61.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $10.00 / $26.92	Professional	26	$6.03	$10.00	$26.92
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $45.71 / $107.15 / $213.80	Professional	50	$45.71	$107.15	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $15.85 / $37.15	Professional	TC	$10.96	$15.85	$37.15
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $8.51 / $8.51 / $8.51	Facility	26	$8.51	$8.51	$8.51
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $15.49 / $15.49 / $15.49	Facility	TC	$15.49	$15.49	$15.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $27.54 / $50.12	Professional		$18.62	$27.54	$50.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $9.77 / $16.60	Professional	26	$6.46	$9.77	$16.60
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $28.18 / $39.81 / $72.44	Professional	50	$28.18	$39.81	$72.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $18.20 / $33.11	Professional	TC	$12.59	$18.20	$33.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.82 / $9.55 / $22.91	Facility	26	$1.82	$9.55	$22.91
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $3.31 / $17.78 / $46.77	Facility	TC	$3.31	$17.78	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $30.90 / $58.88	Professional		$18.20	$30.90	$58.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $10.47 / $20.42	Professional	26	$6.17	$10.47	$20.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $20.89 / $39.81	Professional	TC	$11.75	$20.89	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $24.55 / $44.67	Professional		$18.20	$24.55	$44.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $8.13 / $15.49	Professional	26	$6.17	$8.13	$15.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $16.22 / $29.51	Professional	TC	$11.75	$16.22	$29.51