Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $251.19 / $251.19 / $251.19	Facility	26	$251.19	$251.19	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $97.72 / $204.17	Professional		$47.86	$97.72	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $66.07 / $269.15	Professional	26	$30.20	$66.07	$269.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $64.57 / $141.25 / $302.00	Professional	50	$64.57	$141.25	$302.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $37.15 / $79.43	Professional	TC	$15.85	$37.15	$79.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $223.87 / $275.42	Facility		$199.53	$223.87	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $123.03	Professional		$44.67	$60.26	$123.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $37.15 / $77.62	Professional	26	$26.30	$37.15	$77.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $20.89 / $29.51	Professional	TC	$15.49	$20.89	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $323.59 / $575.44	Facility		$91.20	$323.59	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $165.96	Professional		$63.10	$95.50	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $54.95 / $95.50	Professional	26	$37.15	$54.95	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $37.15 / $79.43	Professional	TC	$24.55	$37.15	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $79.43 / $141.25	Professional		$53.70	$79.43	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $42.66 / $79.43	Professional	26	$30.90	$42.66	$79.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $30.90 / $72.44	Professional	TC	$20.42	$30.90	$72.44