Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $19.95 / $52.48	Facility	26	$11.48	$19.95	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $66.07 / $154.88	Professional		$39.81	$66.07	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $15.14 / $38.90	Professional	26	$10.96	$15.14	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $43.65 / $112.20	Professional	TC	$31.62	$43.65	$112.20
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $15.49 / $15.49 / $15.49	Facility	26	$15.49	$15.49	$15.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $63.10 / $128.82	Professional		$46.77	$63.10	$128.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $17.38 / $32.36	Professional	26	$11.48	$17.38	$32.36
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $70.79 / $91.20 / $169.82	Professional	50	$70.79	$91.20	$169.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $47.86 / $97.72	Professional	TC	$33.88	$47.86	$97.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.24 / $17.38 / $41.69	Facility	26	$3.24	$17.38	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $72.44 / $147.91	Professional		$44.67	$72.44	$147.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $19.05 / $36.31	Professional	26	$10.96	$19.05	$36.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $54.95 / $117.49	Professional	TC	$33.88	$54.95	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $57.54 / $112.20	Professional		$43.65	$57.54	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $15.49 / $28.18	Professional	26	$11.48	$15.49	$28.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $42.66 / $85.11	Professional	TC	$32.36	$42.66	$85.11