Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.70 / $33.68 / $56.64	Facility	26	$26.70	$33.68	$56.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.28 / $59.24 / $173.23	Professional		$28.28	$59.24	$173.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.75 / $31.96 / $97.80	Professional	26	$17.75	$31.96	$97.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.77 / $70.45 / $110.59	Professional	50	$69.77	$70.45	$110.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.18 / $14.99 / $58.97	Professional	TC	$9.18	$14.99	$58.97
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $26.07 / $26.07 / $26.07	Facility	26	$26.07	$26.07	$26.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.07 / $55.62 / $98.25	Professional		$38.07	$55.62	$98.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.19 / $28.59 / $52.35	Professional	26	$22.19	$28.59	$52.35
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $57.02 / $83.28 / $131.49	Professional	50	$57.02	$83.28	$131.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.38 / $28.66 / $44.59	Professional	TC	$10.38	$28.66	$44.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.43 / $37.43 / $37.43	Facility	26	$37.43	$37.43	$37.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $59.06 / $115.90	Professional		$35.13	$59.06	$115.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.46 / $33.49 / $60.86	Professional	26	$22.46	$33.49	$60.86
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $74.87 / $74.87 / $84.74	Professional	50	$74.87	$74.87	$84.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.45 / $24.86 / $59.48	Professional	TC	$11.45	$24.86	$59.48
United Facility/Professional Professional Modifier Low / Median / High Price $32.82 / $58.10 / $100.91	Professional		$32.82	$58.10	$100.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.98 / $27.39 / $50.68	Professional	26	$20.98	$27.39	$50.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.82 / $31.54 / $56.70	Professional	TC	$10.82	$31.54	$56.70