Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $52.48 / $131.83	Facility	26	$25.70	$52.48	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $75.86 / $173.78	Professional		$54.95	$75.86	$173.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $30.90 / $74.13	Professional	26	$22.91	$30.90	$74.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $66.07 / $223.87 / $257.04	Professional	50	$66.07	$223.87	$257.04
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $37.15 / $37.15 / $91.20	Professional	52	$37.15	$37.15	$91.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $40.74 / $77.62	Professional	TC	$28.18	$40.74	$77.62
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $154.88	Professional		$67.61	$93.33	$154.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $38.90 / $63.10	Professional	26	$29.51	$38.90	$63.10
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $102.33 / $141.25 / $223.87	Professional	50	$102.33	$141.25	$223.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $54.95 / $93.33	Professional	TC	$38.02	$54.95	$93.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.24 / $38.90 / $97.72	Facility	26	$7.24	$38.90	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $186.21	Professional		$57.54	$97.72	$186.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $39.81 / $81.28	Professional	26	$24.55	$39.81	$81.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $58.88 / $109.65	Professional	TC	$32.36	$58.88	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $77.62 / $141.25	Professional		$54.95	$77.62	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $32.36 / $60.26	Professional	26	$23.99	$32.36	$60.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $43.65 / $81.28	Professional	TC	$30.90	$43.65	$81.28