Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $33.88 / $33.88	Facility	26	$33.88	$33.88	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $239.88	Professional		$77.62	$107.15	$239.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $52.48 / $239.88	Professional	26	$30.20	$52.48	$239.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $85.11 / $154.88	Professional	50	$85.11	$85.11	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $72.44 / $154.88	Professional	TC	$57.54	$72.44	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $407.38	Professional		$263.03	$407.38	$407.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $138.04 / $138.04	Professional	26	$89.13	$138.04	$138.04
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $389.05 / $602.56 / $602.56	Professional	50	$389.05	$602.56	$602.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $269.15 / $269.15	Professional	TC	$173.78	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $309.03	Professional		$97.72	$162.18	$309.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $53.70 / $107.15	Professional	26	$36.31	$53.70	$107.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $109.65 / $199.53	Professional	TC	$61.66	$109.65	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $190.55 / $338.84	Professional		$104.71	$190.55	$338.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $64.57 / $114.82	Professional	26	$35.48	$64.57	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $125.89 / $218.78	Professional	TC	$67.61	$125.89	$218.78