Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $69.18 / $169.82	Facility	26	$47.86	$69.18	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $173.78 / $575.44	Professional		$54.95	$173.78	$575.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $77.62 / $199.53	Professional	26	$44.67	$77.62	$199.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.65 / $199.53 / $354.81	Professional	50	$43.65	$199.53	$354.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $162.18 / $346.74	Professional	TC	$100.00	$162.18	$346.74
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $53.70 / $53.70	Facility	26	$53.70	$53.70	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $239.88 / $467.74	Professional		$154.88	$239.88	$467.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $66.07 / $117.49	Professional	26	$47.86	$66.07	$117.49
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $239.88 / $354.81 / $691.83	Professional	50	$239.88	$354.81	$691.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $173.78 / $354.81	Professional	TC	$112.20	$173.78	$354.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $61.66 / $151.36	Facility	26	$11.48	$61.66	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $269.15 / $501.19	Professional		$147.91	$269.15	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $67.61 / $131.83	Professional	26	$38.02	$67.61	$131.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $194.98 / $371.54	Professional	TC	$107.15	$194.98	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $398.11	Professional		$154.88	$218.78	$398.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $54.95 / $102.33	Professional	26	$40.74	$54.95	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $162.18 / $295.12	Professional	TC	$109.65	$162.18	$295.12