Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.31 / $105.41 / $171.85	Facility	26	$71.31	$105.41	$171.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.22 / $472.35 / $969.71	Professional		$238.22	$472.35	$969.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.53 / $135.97 / $289.50	Professional	26	$66.53	$135.97	$289.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $712.50 / $712.50 / $712.50	Professional	50	$712.50	$712.50	$712.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $335.00 / $480.00	Professional	TC	$187.50	$335.00	$480.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $71.81 / $71.81 / $71.81	Facility	26	$71.81	$71.81	$71.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.18 / $372.95 / $678.41	Professional		$240.18	$372.95	$678.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.19 / $78.39 / $137.59	Professional	26	$59.19	$78.39	$137.59
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $349.52 / $543.74 / $925.02	Professional	50	$349.52	$543.74	$925.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $177.86 / $291.24 / $574.88	Professional	TC	$177.86	$291.24	$574.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.95 / $72.95 / $72.95	Facility	26	$72.95	$72.95	$72.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.05 / $493.49 / $832.18	Professional		$238.05	$493.49	$832.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.99 / $91.22 / $154.84	Professional	26	$56.99	$91.22	$154.84
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $338.09 / $338.09 / $386.61	Professional	50	$338.09	$338.09	$386.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $171.79 / $385.52 / $664.35	Professional	TC	$171.79	$385.52	$664.35
United Facility/Professional Professional Modifier Low / Median / High Price $222.47 / $399.90 / $737.80	Professional		$222.47	$399.90	$737.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.59 / $78.31 / $141.06	Professional	26	$58.59	$78.31	$141.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.45 / $310.86 / $599.17	Professional	TC	$173.45	$310.86	$599.17