Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.46 / $41.43 / $71.92	Facility	26	$33.46	$41.43	$71.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.68 / $108.09 / $237.57	Professional		$86.68	$108.09	$237.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.06 / $35.77 / $75.47	Professional	26	$30.06	$35.77	$75.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $119.27 / $281.58 / $728.70	Professional	50	$119.27	$281.58	$728.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.22 / $70.84 / $119.09	Professional	TC	$59.22	$70.84	$119.09
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $38.61 / $38.61 / $38.61	Facility	26	$38.61	$38.61	$38.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.77 / $121.12 / $198.53	Professional		$97.77	$121.12	$198.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.51 / $41.66 / $67.82	Professional	26	$33.51	$41.66	$67.82
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $145.87 / $178.98 / $288.79	Professional	50	$145.87	$178.98	$288.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $65.53 / $81.16 / $131.25	Professional	TC	$65.53	$81.16	$131.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.72 / $39.72 / $39.72	Facility	26	$39.72	$39.72	$39.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.69 / $137.18 / $237.25	Professional		$91.69	$137.18	$237.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.64 / $47.98 / $80.45	Professional	26	$31.64	$47.98	$80.45
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $138.68 / $138.68 / $157.99	Professional	50	$138.68	$138.68	$157.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.51 / $90.67 / $155.06	Professional	TC	$59.51	$90.67	$155.06
United Facility/Professional Professional Modifier Low / Median / High Price $98.15 / $119.90 / $209.85	Professional		$98.15	$119.90	$209.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.45 / $41.42 / $72.92	Professional	26	$33.45	$41.42	$72.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.94 / $78.80 / $135.32	Professional	TC	$63.94	$78.80	$135.32