Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.80 / $61.77 / $105.56	Facility	26	$48.80	$61.77	$105.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.66 / $217.56 / $394.25	Professional		$113.66	$217.56	$394.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.82 / $55.00 / $153.56	Professional	26	$43.82	$55.00	$153.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $200.41 / $200.41 / $200.41	Professional	50	$200.41	$200.41	$200.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $103.05 / $177.61 / $291.63	Professional	TC	$103.05	$177.61	$291.63
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $53.23 / $53.23 / $53.23	Facility	26	$53.23	$53.23	$53.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.21 / $223.19 / $436.47	Professional		$158.21	$223.19	$436.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.50 / $64.34 / $110.19	Professional	26	$47.50	$64.34	$110.19
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $233.92 / $315.59 / $603.09	Professional	50	$233.92	$315.59	$603.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $109.74 / $167.66 / $338.39	Professional	TC	$109.74	$167.66	$338.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.02 / $54.02 / $54.02	Facility	26	$54.02	$54.02	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.38 / $276.64 / $461.44	Professional		$162.38	$276.64	$461.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.06 / $67.76 / $116.38	Professional	26	$42.06	$67.76	$116.38
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $231.34 / $231.34 / $264.19	Professional	50	$231.34	$231.34	$264.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.92 / $201.85 / $336.10	Professional	TC	$112.92	$201.85	$336.10
United Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $229.31 / $399.37	Professional		$159.94	$229.31	$399.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.34 / $59.96 / $105.04	Professional	26	$44.34	$59.96	$105.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $112.77 / $169.36 / $292.64	Professional	TC	$112.77	$169.36	$292.64