Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $181.97 / $426.58	Facility	26	$91.20	$181.97	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $478.63 / $1,148.15	Professional		$338.84	$478.63	$1,148.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $125.89 / $281.84	Professional	26	$85.11	$125.89	$281.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $630.96 / $630.96 / $630.96	Professional	50	$630.96	$630.96	$630.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $338.84 / $691.83	Professional	TC	$257.04	$338.84	$691.83
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $95.50 / $95.50	Facility	26	$95.50	$95.50	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $1,000.00	Professional		$338.84	$512.86	$1,000.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $112.20 / $208.93	Professional	26	$81.28	$112.20	$208.93
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $512.86 / $707.95 / $1,445.44	Professional	50	$512.86	$707.95	$1,445.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $398.11 / $812.83	Professional	TC	$257.04	$398.11	$812.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $112.20 / $269.15	Facility	26	$20.89	$112.20	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $575.44 / $1,071.52	Professional		$323.59	$575.44	$1,071.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $123.03 / $239.88	Professional	26	$69.18	$123.03	$239.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $457.09 / $851.14	Professional	TC	$251.19	$457.09	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $870.96	Professional		$323.59	$467.74	$870.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $95.50 / $186.21	Professional	26	$70.79	$95.50	$186.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $371.54 / $691.83	Professional	TC	$245.47	$371.54	$691.83