Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.62 / $13.95 / $26.10	Facility	26	$10.62	$13.95	$26.10
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $38.80 / $258.36 / $577.51	Facility	TC	$38.80	$258.36	$577.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.07 / $50.73 / $159.00	Professional		$29.07	$50.73	$159.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $14.86 / $49.78	Professional	26	$9.94	$14.86	$49.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.23 / $135.97 / $292.00	Professional	50	$72.23	$135.97	$292.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $17.14 / $21.99 / $27.62	Professional	52	$17.14	$21.99	$27.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.87 / $35.22 / $82.45	Professional	TC	$27.87	$35.22	$82.45
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $11.82 / $11.82 / $11.82	Facility	26	$11.82	$11.82	$11.82
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $29.58 / $29.58 / $29.58	Facility	TC	$29.58	$29.58	$29.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.96 / $51.30 / $87.01	Professional		$37.96	$51.30	$87.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.67 / $14.60 / $22.26	Professional	26	$10.67	$14.60	$22.26
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $53.06 / $72.76 / $115.69	Professional	50	$53.06	$72.76	$115.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.85 / $36.43 / $65.09	Professional	TC	$27.85	$36.43	$65.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.66 / $12.66 / $12.66	Facility	26	$12.66	$12.66	$12.66
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $40.63 / $40.63 / $40.63	Facility	TC	$40.63	$40.63	$40.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $54.46 / $97.38	Professional		$37.00	$54.46	$97.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.88 / $15.55 / $26.00	Professional	26	$9.88	$15.55	$26.00
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $53.72 / $53.72 / $61.21	Professional	50	$53.72	$53.72	$61.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.05 / $40.08 / $73.31	Professional	TC	$26.05	$40.08	$73.31
United Facility/Professional Professional Modifier Low / Median / High Price $36.59 / $48.21 / $84.64	Professional		$36.59	$48.21	$84.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $13.09 / $23.14	Professional	26	$10.24	$13.09	$23.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.32 / $34.52 / $61.66	Professional	TC	$26.32	$34.52	$61.66