Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.18 / $114.93 / $203.00	Facility	26	$89.18	$114.93	$203.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.30 / $385.43 / $563.89	Professional		$257.30	$385.43	$563.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.45 / $95.56 / $202.33	Professional	26	$79.45	$95.56	$202.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $517.65 / $593.91 / $593.91	Professional	50	$517.65	$593.91	$593.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $170.48 / $300.52 / $406.70	Professional	TC	$170.48	$300.52	$406.70
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $100.40 / $100.40 / $100.40	Facility	26	$100.40	$100.40	$100.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.12 / $381.04 / $784.11	Professional		$275.12	$381.04	$784.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.99 / $109.37 / $195.42	Professional	26	$79.99	$109.37	$195.42
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $407.34 / $537.52 / $955.86	Professional	50	$407.34	$537.52	$955.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $198.54 / $280.16 / $634.54	Professional	TC	$198.54	$280.16	$634.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.96 / $101.96 / $101.96	Facility	26	$101.96	$101.96	$101.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.43 / $531.60 / $884.29	Professional		$316.43	$531.60	$884.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.42 / $125.56 / $215.86	Professional	26	$78.42	$125.56	$215.86
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $458.57 / $458.57 / $523.66	Professional	50	$458.57	$458.57	$523.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $230.02 / $402.39 / $701.77	Professional	TC	$230.02	$402.39	$701.77
United Facility/Professional Professional Modifier Low / Median / High Price $316.72 / $454.08 / $772.35	Professional		$316.72	$454.08	$772.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.17 / $110.26 / $192.00	Professional	26	$82.17	$110.26	$192.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $230.46 / $358.98 / $596.78	Professional	TC	$230.46	$358.98	$596.78