Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $14.45 / $39.81	Facility	26	$9.55	$14.45	$39.81
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $35.48 / $147.91 / $630.96	Facility	TC	$35.48	$147.91	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $56.23 / $181.97	Professional		$20.89	$56.23	$181.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $21.38 / $61.66	Professional	26	$10.00	$21.38	$61.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $41.69 / $114.82 / $275.42	Professional	50	$41.69	$114.82	$275.42
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $43.65 / $43.65 / $43.65	Professional	52	$43.65	$43.65	$43.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $46.77 / $114.82	Professional	TC	$28.18	$46.77	$114.82
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $11.75 / $11.75 / $11.75	Facility	26	$11.75	$11.75	$11.75
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $29.51 / $29.51 / $29.51	Facility	TC	$29.51	$29.51	$29.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.86 / $91.20	Professional		$34.67	$47.86	$91.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $14.45 / $24.55	Professional	26	$9.33	$14.45	$24.55
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $51.29 / $70.79 / $131.83	Professional	50	$51.29	$70.79	$131.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $34.67 / $67.61	Professional	TC	$23.99	$34.67	$67.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.69 / $14.45 / $34.67	Facility	26	$2.69	$14.45	$34.67
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $8.51 / $44.67 / $120.23	Facility	TC	$8.51	$44.67	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $56.23 / $114.82	Professional		$34.67	$56.23	$114.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $15.14 / $30.20	Professional	26	$9.12	$15.14	$30.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $41.69 / $93.33	Professional	TC	$25.12	$41.69	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $87.10	Professional		$33.11	$44.67	$87.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $12.02 / $22.91	Professional	26	$9.12	$12.02	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $33.11 / $64.57	Professional	TC	$23.99	$33.11	$64.57