Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.80 / $377.27 / $645.60	Facility		$183.80	$377.27	$645.60
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $205.10 / $205.10 / $205.10	Facility	26	$205.10	$205.10	$205.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.05 / $87.56 / $425.00	Professional		$70.05	$87.56	$425.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.36 / $31.84 / $182.22	Professional	26	$25.36	$31.84	$182.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $111.81 / $663.00 / $784.59	Professional	50	$111.81	$663.00	$784.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.69 / $54.26 / $98.54	Professional	TC	$44.69	$54.26	$98.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $169.48 / $199.39	Facility		$137.93	$169.48	$199.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.05 / $105.94 / $173.17	Professional		$90.05	$105.94	$173.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.04 / $40.06 / $56.78	Professional	26	$28.04	$40.06	$56.78
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $327.87 / $327.87 / $327.87	Professional	50	$327.87	$327.87	$327.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.12 / $65.88 / $65.88	Professional	TC	$46.12	$65.88	$65.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.34 / $173.34 / $304.72	Facility		$173.34	$173.34	$304.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.04 / $126.96 / $178.57	Professional		$81.04	$126.96	$178.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.44 / $47.86 / $68.62	Professional	26	$31.44	$47.86	$68.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.07 / $78.91 / $109.95	Professional	TC	$51.07	$78.91	$109.95
United Facility/Professional Professional Modifier Low / Median / High Price $81.34 / $110.32 / $162.16	Professional		$81.34	$110.32	$162.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.32 / $42.80 / $62.42	Professional	26	$30.32	$42.80	$62.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.03 / $64.31 / $99.46	Professional	TC	$49.03	$64.31	$99.46