Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	26	$147.91	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $204.17	Professional		$63.10	$81.28	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $32.36 / $74.13	Professional	26	$21.88	$32.36	$74.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $66.07 / $213.80 / $257.04	Professional	50	$66.07	$213.80	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $47.86 / $100.00	Professional	TC	$30.20	$47.86	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $173.78	Professional		$63.10	$85.11	$173.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $36.31 / $64.57	Professional	26	$26.30	$36.31	$64.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $44.67 / $63.10	Professional	TC	$33.11	$44.67	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $100.00 / $177.83	Professional		$66.07	$100.00	$177.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $43.65 / $64.57	Professional	26	$27.54	$43.65	$64.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $69.18 / $112.20	Professional	TC	$41.69	$69.18	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $134.90	Professional		$57.54	$83.18	$134.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $35.48 / $58.88	Professional	26	$26.30	$35.48	$58.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $45.71 / $81.28	Professional	TC	$32.36	$45.71	$81.28