Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.89 / $86.41 / $105.55	Facility		$78.89	$86.41	$105.55
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.95 / $31.95 / $31.95	Facility	26	$31.95	$31.95	$31.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $68.33 / $115.90	Professional		$50.89	$68.33	$115.90
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $74.14 / $74.14 / $81.93	Professional	25	$74.14	$74.14	$81.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.42 / $27.04 / $52.04	Professional	26	$22.42	$27.04	$52.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $302.83 / $389.65 / $389.65	Professional	50	$302.83	$389.65	$389.65
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $24.89 / $31.40 / $43.93	Professional	52	$24.89	$31.40	$43.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.65 / $37.85 / $62.82	Professional	TC	$28.65	$37.85	$62.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.40 / $259.43 / $445.12	Facility		$127.40	$259.43	$445.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.61 / $72.31 / $116.74	Professional		$53.61	$72.31	$116.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.29 / $29.50 / $46.90	Professional	26	$21.29	$29.50	$46.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.98 / $44.01 / $67.93	Professional	TC	$30.98	$44.01	$67.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.84 / $70.84 / $70.84	Facility		$70.84	$70.84	$70.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.14 / $30.14 / $30.14	Facility	26	$30.14	$30.14	$30.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.35 / $79.33 / $140.97	Professional		$50.35	$79.33	$140.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.49 / $31.94 / $56.21	Professional	26	$21.49	$31.94	$56.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.37 / $45.85 / $83.22	Professional	TC	$28.37	$45.85	$83.22
United Facility/Professional Professional Modifier Low / Median / High Price $50.77 / $66.84 / $113.75	Professional		$50.77	$66.84	$113.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.54 / $27.30 / $44.31	Professional	26	$21.54	$27.30	$44.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.58 / $39.06 / $66.20	Professional	TC	$28.58	$39.06	$66.20