Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.61 / $10.23 / $26.30	Facility	26	$6.61	$10.23	$26.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $37.15 / $114.82	Professional		$17.38	$37.15	$114.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $12.59 / $36.31	Professional	26	$6.03	$12.59	$36.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.98 / $114.82 / $263.03	Professional	50	$48.98	$114.82	$263.03
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $21.88 / $28.84 / $104.71	Professional	52	$21.88	$28.84	$104.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $23.44 / $60.26	Professional	TC	$15.85	$23.44	$60.26
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $8.51 / $8.51 / $8.51	Facility	26	$8.51	$8.51	$8.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $58.88	Professional		$23.99	$32.36	$58.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $10.23 / $17.78	Professional	26	$6.76	$10.23	$17.78
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $36.31 / $46.77 / $85.11	Professional	50	$36.31	$46.77	$85.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $22.91 / $42.66	Professional	TC	$16.22	$22.91	$42.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.86 / $10.00 / $23.99	Facility	26	$1.86	$10.00	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $37.15 / $74.13	Professional		$22.39	$37.15	$74.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $10.72 / $20.89	Professional	26	$6.46	$10.72	$20.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $26.30 / $56.23	Professional	TC	$16.22	$26.30	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.84 / $56.23	Professional		$22.39	$28.84	$56.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $8.51 / $16.22	Professional	26	$6.46	$8.51	$16.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $20.89 / $39.81	Professional	TC	$15.49	$20.89	$39.81