Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $220.05 / $220.05 / $220.05	Facility	26	$220.05	$220.05	$220.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $104.98 / $118.19	Professional		$85.58	$104.98	$118.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.21 / $34.14 / $36.20	Professional	26	$27.21	$34.14	$36.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $61.63 / $386.75 / $910.00	Professional	50	$61.63	$386.75	$910.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.37 / $70.84 / $75.93	Professional	TC	$58.37	$70.84	$75.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.59 / $127.75 / $211.19	Professional		$108.59	$127.75	$211.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.09 / $42.98 / $60.98	Professional	26	$30.09	$42.98	$60.98
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $400.58 / $400.58 / $400.58	Professional	50	$400.58	$400.58	$400.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $59.35 / $84.79 / $84.79	Professional	TC	$59.35	$84.79	$84.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.80 / $154.79 / $218.54	Professional		$98.80	$154.79	$218.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.72 / $51.36 / $73.63	Professional	26	$33.72	$51.36	$73.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.63 / $103.02 / $144.91	Professional	TC	$66.63	$103.02	$144.91
United Facility/Professional Professional Modifier Low / Median / High Price $98.65 / $136.31 / $197.73	Professional		$98.65	$136.31	$197.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.21 / $45.93 / $66.97	Professional	26	$33.21	$45.93	$66.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.01 / $90.38 / $131.81	Professional	TC	$64.01	$90.38	$131.81