Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $19.05 / $51.29	Facility	26	$12.30	$19.05	$51.29
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $38.90 / $109.65 / $446.68	Facility	TC	$38.90	$109.65	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $64.57 / $165.96	Professional		$41.69	$64.57	$165.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $19.05 / $45.71	Professional	26	$12.02	$19.05	$45.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $29.51 / $75.86 / $269.15	Professional	50	$29.51	$75.86	$269.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $41.69 / $100.00	Professional	TC	$28.84	$41.69	$100.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $16.22 / $16.22 / $16.22	Facility	26	$16.22	$16.22	$16.22
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $34.67 / $34.67 / $34.67	Facility	TC	$34.67	$34.67	$34.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $60.26 / $120.23	Professional		$43.65	$60.26	$120.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $18.62 / $33.88	Professional	26	$12.30	$18.62	$33.88
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $66.07 / $83.18 / $154.88	Professional	50	$66.07	$83.18	$154.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $41.69 / $87.10	Professional	TC	$30.20	$41.69	$87.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.47 / $18.20 / $44.67	Facility	26	$3.47	$18.20	$44.67
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $9.33 / $50.12 / $131.83	Facility	TC	$9.33	$50.12	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $66.07 / $134.90	Professional		$41.69	$66.07	$134.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $19.95 / $38.90	Professional	26	$11.48	$19.95	$38.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $48.98 / $102.33	Professional	TC	$29.51	$48.98	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $102.33	Professional		$40.74	$53.70	$102.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $16.22 / $30.20	Professional	26	$12.02	$16.22	$30.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $38.02 / $74.13	Professional	TC	$28.84	$38.02	$74.13