Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $60.26 / $151.36	Facility	26	$28.18	$60.26	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $245.47	Professional		$61.66	$85.11	$245.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $32.36 / $100.00	Professional	26	$25.70	$32.36	$100.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $173.78 / $295.12 / $741.31	Professional	50	$173.78	$295.12	$741.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $46.77 / $97.72	Professional	TC	$33.88	$46.77	$97.72
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $37.15 / $37.15	Facility	26	$37.15	$37.15	$37.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $186.21	Professional		$77.62	$100.00	$186.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $42.66 / $74.13	Professional	26	$31.62	$42.66	$74.13
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $147.91 / $269.15	Professional	50	$114.82	$147.91	$269.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $60.26 / $114.82	Professional	TC	$46.77	$60.26	$114.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.76 / $41.69 / $104.71	Facility	26	$7.76	$41.69	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $114.82 / $223.87	Professional		$66.07	$114.82	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $45.71 / $89.13	Professional	26	$26.92	$45.71	$89.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $69.18 / $131.83	Professional	TC	$38.90	$69.18	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $186.21	Professional		$72.44	$102.33	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $37.15 / $69.18	Professional	26	$27.54	$37.15	$69.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $64.57 / $114.82	Professional	TC	$43.65	$64.57	$114.82