Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $138.04 / $354.81	Facility	26	$85.11	$138.04	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $691.83	Professional		$213.80	$323.59	$691.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $120.23 / $363.08	Professional	26	$77.62	$120.23	$363.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $331.13 / $1,819.70 / $2,951.21	Professional	50	$331.13	$1,819.70	$2,951.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $229.09 / $501.19	Professional	TC	$162.18	$229.09	$501.19
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $389.05 / $870.96	Professional		$269.15	$389.05	$870.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $102.33 / $208.93	Professional	26	$77.62	$102.33	$208.93
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $398.11 / $537.03 / $1,230.27	Professional	50	$398.11	$537.03	$1,230.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $288.40 / $660.69	Professional	TC	$194.98	$288.40	$660.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $117.49 / $281.84	Facility	26	$21.88	$117.49	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $512.86 / $977.24	Professional		$281.84	$512.86	$977.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $120.23 / $245.47	Professional	26	$70.79	$120.23	$245.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $389.05 / $741.31	Professional	TC	$204.17	$389.05	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $794.33	Professional		$302.00	$436.52	$794.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $100.00 / $190.55	Professional	26	$75.86	$100.00	$190.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $331.13 / $602.56	Professional	TC	$218.78	$331.13	$602.56