Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $57.54 / $57.54	Facility	26	$57.54	$57.54	$57.54
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $269.15 / $478.63 / $501.19	Facility	TC	$269.15	$478.63	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $48.98 / $131.83	Professional		$14.13	$48.98	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $23.99 / $64.57	Professional	26	$10.47	$23.99	$64.57
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $39.81 / $114.82 / $257.04	Professional	50	$39.81	$114.82	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $42.66 / $97.72	Professional	TC	$23.99	$42.66	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $58.88 / $93.33	Professional		$44.67	$58.88	$93.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $13.80 / $24.55	Professional	26	$9.55	$13.80	$24.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $43.65 / $58.88	Professional	TC	$32.36	$43.65	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $69.18 / $97.72	Professional		$36.31	$69.18	$97.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $19.95 / $23.99	Professional	26	$9.33	$19.95	$23.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $57.54 / $87.10	Professional	TC	$25.70	$57.54	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $48.98 / $87.10	Professional		$30.90	$48.98	$87.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $13.49 / $21.88	Professional	26	$10.00	$13.49	$21.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $41.69 / $77.62	Professional	TC	$21.38	$41.69	$77.62