Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.16 / $64.94 / $105.25	Facility	26	$48.16	$64.94	$105.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.89 / $211.83 / $404.06	Professional		$98.89	$211.83	$404.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.08 / $56.43 / $171.70	Professional	26	$44.08	$56.43	$171.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $204.97 / $204.97 / $490.74	Professional	50	$204.97	$204.97	$490.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $86.44 / $167.62 / $240.00	Professional	TC	$86.44	$167.62	$240.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $53.23 / $53.23 / $53.23	Facility	26	$53.23	$53.23	$53.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.15 / $210.98 / $431.94	Professional		$140.15	$210.98	$431.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.50 / $64.34 / $110.19	Professional	26	$47.50	$64.34	$110.19
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $202.39 / $289.97 / $570.72	Professional	50	$202.39	$289.97	$570.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.61 / $146.58 / $314.60	Professional	TC	$91.61	$146.58	$314.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.02 / $54.02 / $54.02	Facility	26	$54.02	$54.02	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.34 / $263.52 / $429.12	Professional		$133.34	$263.52	$429.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.48 / $67.76 / $117.12	Professional	26	$42.48	$67.76	$117.12
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $231.80 / $231.80 / $264.70	Professional	50	$231.80	$231.80	$264.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.18 / $188.54 / $320.39	Professional	TC	$91.18	$188.54	$320.39
United Facility/Professional Professional Modifier Low / Median / High Price $139.16 / $216.35 / $367.20	Professional		$139.16	$216.35	$367.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.02 / $61.14 / $115.03	Professional	26	$45.02	$61.14	$115.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $93.40 / $159.15 / $268.99	Professional	TC	$93.40	$159.15	$268.99