Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $12.02 / $32.36	Facility	26	$7.08	$12.02	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $114.82	Professional		$30.20	$45.71	$114.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $29.51	Professional	26	$7.08	$10.00	$29.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.90 / $40.74 / $58.88	Professional	50	$38.90	$40.74	$58.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $31.62 / $72.44	Professional	TC	$21.38	$31.62	$72.44
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $9.33 / $9.33	Facility	26	$9.33	$9.33	$9.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $77.62	Professional		$28.18	$39.81	$77.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.96 / $19.50	Professional	26	$7.94	$10.96	$19.50
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $42.66 / $57.54 / $112.20	Professional	50	$42.66	$57.54	$112.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $28.84 / $60.26	Professional	TC	$19.95	$28.84	$60.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.04 / $10.96 / $25.12	Facility	26	$2.04	$10.96	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $46.77 / $102.33	Professional		$28.84	$46.77	$102.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $12.02 / $23.44	Professional	26	$7.08	$12.02	$23.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $36.31 / $81.28	Professional	TC	$20.89	$36.31	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.90 / $75.86	Professional		$27.54	$38.90	$75.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $9.55 / $17.78	Professional	26	$7.24	$9.55	$17.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $30.20 / $58.88	Professional	TC	$19.50	$30.20	$58.88