Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.64 / $16.85 / $27.35	Facility	26	$13.64	$16.85	$27.35
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $42.02 / $89.23 / $347.75	Facility	TC	$42.02	$89.23	$347.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.27 / $52.94 / $106.15	Professional		$44.27	$52.94	$106.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.42 / $14.65 / $33.97	Professional	26	$12.42	$14.65	$33.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $75.00 / $75.00 / $75.00	Professional	50	$75.00	$75.00	$75.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.85 / $36.45 / $75.20	Professional	TC	$30.85	$36.45	$75.20
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $16.07 / $16.07 / $16.07	Facility	26	$16.07	$16.07	$16.07
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $35.07 / $35.07 / $35.07	Facility	TC	$35.07	$35.07	$35.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $60.42 / $100.56	Professional		$45.99	$60.42	$100.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.59 / $18.61 / $28.21	Professional	26	$13.59	$18.61	$28.21
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $68.09 / $87.07 / $139.92	Professional	50	$68.09	$87.07	$139.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.84 / $45.31 / $72.28	Professional	TC	$33.84	$45.31	$72.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.14 / $16.14 / $16.14	Facility	26	$16.14	$16.14	$16.14
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $44.74 / $44.74 / $44.74	Facility	TC	$44.74	$44.74	$44.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $65.50 / $114.66	Professional		$45.76	$65.50	$114.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.79 / $20.42 / $33.04	Professional	26	$12.79	$20.42	$33.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.35 / $47.06 / $81.89	Professional	TC	$32.35	$47.06	$81.89
United Facility/Professional Professional Modifier Low / Median / High Price $45.84 / $57.67 / $108.23	Professional		$45.84	$57.67	$108.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.09 / $17.44 / $30.41	Professional	26	$14.09	$17.44	$30.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.90 / $41.01 / $70.59	Professional	TC	$31.90	$41.01	$70.59