Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $190.73 / $190.73 / $190.73	Facility	26	$190.73	$190.73	$190.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $90.20 / $154.05	Professional		$72.55	$90.20	$154.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.09 / $48.42 / $52.14	Professional	26	$40.09	$48.42	$52.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $94.51 / $94.51 / $94.51	Professional	50	$94.51	$94.51	$94.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.46 / $36.89 / $41.78	Professional	TC	$32.46	$36.89	$41.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.52 / $218.92 / $258.51	Facility		$164.52	$218.92	$258.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.66 / $59.60 / $187.44	Professional		$50.66	$59.60	$187.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.19 / $37.40 / $104.20	Professional	26	$26.19	$37.40	$104.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.53 / $22.19 / $22.19	Professional	TC	$15.53	$22.19	$22.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.97 / $326.44 / $573.86	Facility		$86.97	$326.44	$573.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $90.18 / $144.19	Professional		$63.57	$90.18	$144.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.52 / $48.15 / $93.35	Professional	26	$37.52	$48.15	$93.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.79 / $33.97 / $78.69	Professional	TC	$24.79	$33.97	$78.69
United Facility/Professional Professional Modifier Low / Median / High Price $53.46 / $80.26 / $125.32	Professional		$53.46	$80.26	$125.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.11 / $40.38 / $59.99	Professional	26	$32.11	$40.38	$59.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.65 / $30.86 / $60.91	Professional	TC	$21.65	$30.86	$60.91