Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $109.65 / $281.84	Facility	26	$66.07	$109.65	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $426.58 / $1,445.44	Professional		$144.54	$426.58	$1,445.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $134.90 / $371.54	Professional	26	$64.57	$134.90	$371.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $131.83 / $707.95 / $2,137.96	Professional	50	$131.83	$707.95	$2,137.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $323.59 / $660.69	Professional	TC	$173.78	$323.59	$660.69
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $72.44	Facility	26	$72.44	$72.44	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $389.05 / $831.76	Professional		$229.09	$389.05	$831.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $77.62 / $151.36	Professional	26	$60.26	$77.62	$151.36
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $354.81 / $562.34 / $1,148.15	Professional	50	$354.81	$562.34	$1,148.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $309.03 / $707.95	Professional	TC	$177.83	$309.03	$707.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.49 / $83.18 / $204.17	Facility	26	$15.49	$83.18	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $478.63 / $870.96	Professional		$229.09	$478.63	$870.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $91.20 / $181.97	Professional	26	$51.29	$91.20	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $346.74 / $707.95	Professional	TC	$162.18	$346.74	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $380.19 / $724.44	Professional		$223.87	$380.19	$724.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $72.44 / $141.25	Professional	26	$54.95	$72.44	$141.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $295.12 / $602.56	Professional	TC	$162.18	$295.12	$602.56