Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $53.70 / $53.70	Facility	26	$10.96	$53.70	$53.70
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $302.00 / $363.08 / $630.96	Facility	TC	$302.00	$363.08	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $50.12 / $141.25	Professional		$22.39	$50.12	$141.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $23.44 / $47.86	Professional	26	$10.72	$23.44	$47.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $45.71 / $120.23 / $194.98	Professional	50	$45.71	$120.23	$194.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $60.26 / $100.00	Professional	TC	$31.62	$60.26	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $190.55 / $190.55	Professional		$120.23	$190.55	$190.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $43.65 / $43.65	Professional	26	$28.18	$43.65	$43.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $144.54 / $144.54	Professional	TC	$93.33	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $75.86 / $123.03	Professional		$39.81	$75.86	$123.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $18.62 / $34.67	Professional	26	$11.75	$18.62	$34.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $54.95 / $91.20	Professional	TC	$27.54	$54.95	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $77.62 / $131.83	Professional		$42.66	$77.62	$131.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $19.95 / $35.48	Professional	26	$12.02	$19.95	$35.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $57.54 / $97.72	Professional	TC	$30.90	$57.54	$97.72