Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.43 / $147.43 / $147.43	Facility	26	$147.43	$147.43	$147.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.35 / $30.18 / $179.25	Professional		$27.35	$30.18	$179.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.17 / $19.47 / $98.84	Professional	26	$17.17	$19.47	$98.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $178.50 / $178.50 / $178.50	Professional	50	$178.50	$178.50	$178.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.18 / $10.27 / $11.21	Professional	TC	$9.18	$10.27	$11.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.67 / $80.30 / $80.30	Professional		$66.67	$80.30	$80.30
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.34 / $40.47 / $46.19	Professional	26	$28.34	$40.47	$46.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.89 / $39.84 / $39.84	Professional	TC	$27.89	$39.84	$39.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $77.06 / $116.30	Professional		$33.18	$77.06	$116.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.58 / $40.47 / $59.75	Professional	26	$23.58	$40.47	$59.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.58 / $31.33 / $66.97	Professional	TC	$12.58	$31.33	$66.97
United Facility/Professional Professional Modifier Low / Median / High Price $28.99 / $58.10 / $96.72	Professional		$28.99	$58.10	$96.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.64 / $27.39 / $54.58	Professional	26	$18.64	$27.39	$54.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.98 / $33.20 / $55.70	Professional	TC	$9.98	$33.20	$55.70