Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.14 / $127.36 / $199.02	Facility	26	$104.14	$127.36	$199.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.44 / $475.00 / $810.65	Professional		$346.44	$475.00	$810.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.57 / $127.50 / $155.65	Professional	26	$85.57	$127.50	$155.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $637.50 / $637.50 / $637.50	Professional	50	$637.50	$637.50	$637.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.35 / $335.00 / $490.25	Professional	TC	$259.35	$335.00	$490.25
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $95.44 / $95.44 / $95.44	Facility	26	$95.44	$95.44	$95.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.57 / $480.25 / $941.48	Professional		$350.57	$480.25	$941.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.62 / $114.00 / $189.44	Professional	26	$82.62	$114.00	$189.44
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $516.25 / $671.47 / $1,145.98	Professional	50	$516.25	$671.47	$1,145.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $260.00 / $367.13 / $773.46	Professional	TC	$260.00	$367.13	$773.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.37 / $97.37 / $97.37	Facility	26	$97.37	$97.37	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.74 / $589.60 / $988.95	Professional		$343.74	$589.60	$988.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.19 / $122.44 / $209.95	Professional	26	$76.19	$122.44	$209.95
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $507.23 / $507.23 / $580.67	Professional	50	$507.23	$507.23	$580.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $260.77 / $476.97 / $771.72	Professional	TC	$260.77	$476.97	$771.72
United Facility/Professional Professional Modifier Low / Median / High Price $344.12 / $502.72 / $858.51	Professional		$344.12	$502.72	$858.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.23 / $105.61 / $199.77	Professional	26	$78.23	$105.61	$199.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $261.54 / $398.63 / $699.98	Professional	TC	$261.54	$398.63	$699.98