Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.12 / $9.30 / $15.28	Facility	26	$7.12	$9.30	$15.28
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $14.05 / $31.63 / $159.01	Facility	TC	$14.05	$31.63	$159.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $23.58 / $42.40	Professional		$17.95	$23.58	$42.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.42 / $7.48 / $17.98	Professional	26	$6.42	$7.48	$17.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $45.36 / $45.36 / $57.00	Professional	50	$45.36	$45.36	$57.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.99 / $15.12 / $26.68	Professional	TC	$11.99	$15.12	$26.68
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $8.58 / $8.58 / $8.58	Facility	26	$8.58	$8.58	$8.58
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $15.65 / $15.65 / $15.65	Facility	TC	$15.65	$15.65	$15.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $26.52 / $44.14	Professional		$20.64	$26.52	$44.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.12 / $10.00 / $14.87	Professional	26	$7.12	$10.00	$14.87
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $30.47 / $38.49 / $61.82	Professional	50	$30.47	$38.49	$61.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.36 / $18.16 / $29.10	Professional	TC	$13.36	$18.16	$29.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.46 / $8.46 / $8.46	Facility	26	$8.46	$8.46	$8.46
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $16.03 / $16.03 / $16.03	Facility	TC	$16.03	$16.03	$16.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $30.92 / $50.37	Professional		$19.51	$30.92	$50.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.67 / $10.51 / $17.11	Professional	26	$6.67	$10.51	$17.11
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $31.05 / $31.05 / $35.06	Professional	50	$31.05	$31.05	$35.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.26 / $20.64 / $33.90	Professional	TC	$13.26	$20.64	$33.90
United Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $25.97 / $44.30	Professional		$20.57	$25.97	$44.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.02 / $8.94 / $16.07	Professional	26	$7.02	$8.94	$16.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.02 / $17.02 / $29.10	Professional	TC	$13.02	$17.02	$29.10