Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.07 / $10.78 / $18.98	Facility	26	$8.07	$10.78	$18.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $37.53 / $72.44	Professional		$30.51	$37.53	$72.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $8.90 / $20.14	Professional	26	$7.24	$8.90	$20.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $39.24 / $39.24 / $59.06	Professional	50	$39.24	$39.24	$59.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $27.74 / $55.29	Professional	TC	$22.26	$27.74	$55.29
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.69 / $42.81 / $72.08	Professional		$31.69	$42.81	$72.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $11.40 / $16.97	Professional	26	$8.09	$11.40	$16.97
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $43.94 / $58.56 / $97.68	Professional	50	$43.94	$58.56	$97.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $32.11 / $55.96	Professional	TC	$23.44	$32.11	$55.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $45.22 / $82.64	Professional		$29.76	$45.22	$82.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.85 / $12.10 / $19.26	Professional	26	$7.85	$12.10	$19.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.28 / $33.45 / $66.18	Professional	TC	$21.28	$33.45	$66.18
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $40.28 / $73.25	Professional		$29.51	$40.28	$73.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.30 / $10.36 / $20.82	Professional	26	$8.30	$10.36	$20.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.75 / $31.92 / $66.34	Professional	TC	$21.75	$31.92	$66.34