Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $44.67 / $120.23	Facility	26	$30.20	$44.67	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $117.49 / $363.08	Professional		$69.18	$117.49	$363.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $47.86 / $147.91	Professional	26	$28.84	$47.86	$147.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $61.66 / $239.88 / $741.31	Professional	50	$61.66	$239.88	$741.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $72.44 / $154.88	Professional	TC	$54.95	$72.44	$154.88
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $38.90 / $38.90	Facility	26	$38.90	$38.90	$38.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $229.09	Professional		$85.11	$125.89	$229.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $41.69 / $75.86	Professional	26	$30.90	$41.69	$75.86
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $181.97 / $309.03	Professional	50	$128.82	$181.97	$309.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $83.18 / $154.88	Professional	TC	$58.88	$83.18	$154.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.51 / $45.71 / $109.65	Facility	26	$8.51	$45.71	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $275.42	Professional		$83.18	$141.25	$275.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $48.98 / $93.33	Professional	26	$29.51	$48.98	$93.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $93.33 / $186.21	Professional	TC	$56.23	$93.33	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $208.93	Professional		$85.11	$114.82	$208.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $38.90 / $72.44	Professional	26	$29.51	$38.90	$72.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $75.86 / $138.04	Professional	TC	$56.23	$75.86	$138.04