Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $52.48 / $117.49	Facility	26	$26.30	$52.48	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $102.33 / $371.54	Professional		$48.98	$102.33	$371.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $43.65 / $128.82	Professional	26	$23.99	$43.65	$128.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.26 / $138.04 / $446.68	Professional	50	$60.26	$138.04	$446.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $28.18 / $104.71	Professional	TC	$10.00	$28.18	$104.71
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $33.11 / $33.11	Facility	26	$33.11	$33.11	$33.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $109.65 / $208.93	Professional		$52.48	$109.65	$208.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $38.02 / $72.44	Professional	26	$26.30	$38.02	$72.44
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $165.96 / $295.12	Professional	50	$81.28	$165.96	$295.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $79.43 / $151.36	Professional	TC	$13.80	$79.43	$151.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $56.23 / $131.83	Facility	26	$10.47	$56.23	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $117.49 / $208.93	Professional		$52.48	$117.49	$208.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $44.67 / $100.00	Professional	26	$27.54	$44.67	$100.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $64.57 / $141.25	Professional	TC	$10.72	$64.57	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $102.33 / $181.97	Professional		$63.10	$102.33	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $34.67 / $64.57	Professional	26	$25.70	$34.67	$64.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $66.07 / $125.89	Professional	TC	$26.92	$66.07	$125.89