Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $426.58 / $1,122.02	Facility		$95.50	$426.58	$1,122.02
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	26	$30.90	$30.90	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $87.10 / $234.42	Professional		$36.31	$87.10	$234.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $58.88 / $190.55	Professional	26	$30.20	$58.88	$190.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.98 / $120.23 / $870.96	Professional	50	$48.98	$120.23	$870.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $56.23 / $114.82	Professional	TC	$43.65	$56.23	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $338.84 / $338.84	Professional		$218.78	$338.84	$338.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $128.82 / $128.82	Professional	26	$83.18	$128.82	$128.82
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $323.59 / $501.19 / $501.19	Professional	50	$323.59	$501.19	$501.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $208.93 / $208.93	Professional	TC	$134.90	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $134.90 / $251.19	Professional		$81.28	$134.90	$251.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $50.12 / $100.00	Professional	26	$33.88	$50.12	$100.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $85.11 / $154.88	Professional	TC	$46.77	$85.11	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $154.88 / $275.42	Professional		$85.11	$154.88	$275.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $60.26 / $107.15	Professional	26	$33.11	$60.26	$107.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $95.50 / $169.82	Professional	TC	$52.48	$95.50	$169.82