Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.84 / $15.27 / $26.09	Facility	26	$12.84	$15.27	$26.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $55.07 / $109.49	Professional		$46.93	$55.07	$109.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.32 / $13.40 / $25.87	Professional	26	$11.32	$13.40	$25.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.14 / $40.33 / $82.01	Professional	TC	$34.14	$40.33	$82.01
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $15.35 / $15.35 / $15.35	Facility	26	$15.35	$15.35	$15.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.55 / $67.12 / $109.07	Professional		$50.55	$67.12	$109.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.84 / $17.64 / $26.43	Professional	26	$12.84	$17.64	$26.43
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $72.40 / $92.54 / $151.84	Professional	50	$72.40	$92.54	$151.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.20 / $53.18 / $84.21	Professional	TC	$39.20	$53.18	$84.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.00 / $15.00 / $15.00	Facility	26	$15.00	$15.00	$15.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.77 / $70.87 / $123.91	Professional		$47.77	$70.87	$123.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.03 / $19.26 / $30.70	Professional	26	$12.03	$19.26	$30.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.94 / $52.07 / $93.82	Professional	TC	$36.94	$52.07	$93.82
United Facility/Professional Professional Modifier Low / Median / High Price $49.27 / $62.33 / $108.49	Professional		$49.27	$62.33	$108.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.10 / $16.69 / $28.23	Professional	26	$13.10	$16.69	$28.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.34 / $46.14 / $80.09	Professional	TC	$35.34	$46.14	$80.09