Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.00 / $41.27 / $71.41	Facility	26	$31.00	$41.27	$71.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.92 / $79.14 / $130.90	Professional		$65.92	$79.14	$130.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.14 / $31.77 / $51.26	Professional	26	$27.14	$31.77	$51.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $203.05 / $217.92 / $406.09	Professional	50	$203.05	$217.92	$406.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.58 / $49.35 / $79.63	Professional	TC	$37.58	$49.35	$79.63
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $36.78 / $36.78 / $36.78	Facility	26	$36.78	$36.78	$36.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $102.32 / $161.22	Professional		$73.70	$102.32	$161.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.59 / $42.94 / $64.82	Professional	26	$31.59	$42.94	$64.82
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $110.39 / $146.71 / $233.25	Professional	50	$110.39	$146.71	$233.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.10 / $59.63 / $97.00	Professional	TC	$42.10	$59.63	$97.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.24 / $36.24 / $36.24	Facility	26	$36.24	$36.24	$36.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.33 / $117.50 / $200.91	Professional		$73.33	$117.50	$200.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $44.58 / $78.73	Professional	26	$30.20	$44.58	$78.73
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $126.81 / $126.81 / $145.44	Professional	50	$126.81	$126.81	$145.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.24 / $70.22 / $125.89	Professional	TC	$42.24	$70.22	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $82.85 / $106.78 / $183.60	Professional		$82.85	$106.78	$183.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.60 / $38.88 / $69.28	Professional	26	$31.60	$38.88	$69.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.62 / $65.61 / $114.91	Professional	TC	$49.62	$65.61	$114.91