Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $67.61 / $169.82	Facility	26	$47.86	$67.61	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $154.88 / $512.86	Professional		$46.77	$154.88	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $74.13 / $229.09	Professional	26	$44.67	$74.13	$229.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $91.20 / $302.00 / $954.99	Professional	50	$91.20	$302.00	$954.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $144.54 / $331.13	Professional	TC	$83.18	$144.54	$331.13
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $53.70 / $53.70	Facility	26	$53.70	$53.70	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $239.88 / $446.68	Professional		$131.83	$239.88	$446.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $66.07 / $117.49	Professional	26	$47.86	$66.07	$117.49
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $204.17 / $338.84 / $660.69	Professional	50	$204.17	$338.84	$660.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $169.82 / $338.84	Professional	TC	$91.20	$169.82	$338.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $61.66 / $151.36	Facility	26	$11.48	$61.66	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $251.19 / $457.09	Professional		$131.83	$251.19	$457.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $67.61 / $131.83	Professional	26	$38.02	$67.61	$131.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $173.78 / $338.84	Professional	TC	$85.11	$173.78	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $371.54	Professional		$134.90	$204.17	$371.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $54.95 / $102.33	Professional	26	$40.74	$54.95	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $147.91 / $275.42	Professional	TC	$91.20	$147.91	$275.42