Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.06 / $35.08 / $66.58	Facility	26	$29.06	$35.08	$66.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.02 / $76.67 / $119.91	Professional		$59.02	$76.67	$119.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.68 / $28.65 / $48.36	Professional	26	$25.68	$28.65	$48.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $70.73 / $215.04 / $241.06	Professional	50	$70.73	$215.04	$241.06
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $27.84 / $33.40 / $46.90	Professional	52	$27.84	$33.40	$46.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.80 / $43.74 / $68.37	Professional	TC	$31.80	$43.74	$68.37
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $32.47 / $32.47 / $32.47	Facility	26	$32.47	$32.47	$32.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $90.44 / $139.59	Professional		$65.84	$90.44	$139.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.35 / $38.45 / $58.25	Professional	26	$29.35	$38.45	$58.25
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $98.87 / $129.55 / $198.00	Professional	50	$98.87	$129.55	$198.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.79 / $48.91 / $82.10	Professional	TC	$36.79	$48.91	$82.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.84 / $33.84 / $33.84	Facility	26	$33.84	$33.84	$33.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.42 / $99.13 / $161.54	Professional		$62.42	$99.13	$161.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.15 / $40.26 / $68.87	Professional	26	$26.15	$40.26	$68.87
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.56 / $85.56 / $97.82	Professional	50	$85.56	$85.56	$97.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $57.07 / $100.62	Professional	TC	$33.88	$57.07	$100.62
United Facility/Professional Professional Modifier Low / Median / High Price $61.35 / $81.45 / $137.80	Professional		$61.35	$81.45	$137.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.41 / $33.39 / $59.84	Professional	26	$27.41	$33.39	$59.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.20 / $46.70 / $80.45	Professional	TC	$33.20	$46.70	$80.45