Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $37.15 / $83.18	Facility	26	$19.95	$37.15	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $70.79 / $204.17	Professional		$31.62	$70.79	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $46.77 / $125.89	Professional	26	$19.05	$46.77	$125.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $36.31 / $70.79 / $263.03	Professional	50	$36.31	$70.79	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $28.18 / $83.18	Professional	TC	$8.91	$28.18	$83.18
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $26.30 / $26.30	Facility	26	$26.30	$26.30	$26.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $52.48 / $100.00	Professional		$30.90	$52.48	$100.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $27.54 / $54.95	Professional	26	$19.50	$27.54	$54.95
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $48.98 / $79.43 / $147.91	Professional	50	$48.98	$79.43	$147.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.77 / $20.89 / $47.86	Professional	TC	$9.77	$20.89	$47.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $42.66 / $100.00	Facility	26	$7.94	$42.66	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.54 / $144.54	Professional		$32.36	$57.54	$144.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $33.11 / $75.86	Professional	26	$20.89	$33.11	$75.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.47 / $26.92 / $75.86	Professional	TC	$10.47	$26.92	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $53.70 / $104.71	Professional		$30.20	$53.70	$104.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $25.70 / $50.12	Professional	26	$19.05	$25.70	$50.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $28.18 / $57.54	Professional	TC	$10.00	$28.18	$57.54