Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.71 / $41.60 / $73.40	Facility	26	$35.71	$41.60	$73.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $103.70 / $296.21	Professional		$51.68	$103.70	$296.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.78 / $34.51 / $88.86	Professional	26	$24.78	$34.51	$88.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $121.18 / $121.18 / $430.57	Professional	50	$121.18	$121.18	$430.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.19 / $55.89 / $98.28	Professional	TC	$12.19	$55.89	$98.28
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $33.29 / $33.29 / $33.29	Facility	26	$33.29	$33.29	$33.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.24 / $104.95 / $156.88	Professional		$55.24	$104.95	$156.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.57 / $40.47 / $69.08	Professional	26	$29.57	$40.47	$69.08
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $78.13 / $140.95 / $225.79	Professional	50	$78.13	$140.95	$225.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.75 / $55.31 / $122.96	Professional	TC	$13.75	$55.31	$122.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.32 / $49.32 / $49.32	Facility	26	$49.32	$49.32	$49.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.08 / $121.93 / $202.99	Professional		$56.08	$121.93	$202.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.34 / $43.92 / $80.55	Professional	26	$30.34	$43.92	$80.55
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $115.21 / $115.21 / $131.31	Professional	50	$115.21	$115.21	$131.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.99 / $68.04 / $142.78	Professional	TC	$12.99	$68.04	$142.78
United Facility/Professional Professional Modifier Low / Median / High Price $71.14 / $109.42 / $181.33	Professional		$71.14	$109.42	$181.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.93 / $36.97 / $79.27	Professional	26	$28.93	$36.97	$79.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.63 / $69.23 / $121.76	Professional	TC	$35.63	$69.23	$121.76