Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.56 / $116.07 / $280.27	Facility		$51.56	$116.07	$280.27
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.19 / $31.18 / $40.45	Facility	26	$29.19	$31.18	$40.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.30 / $80.08 / $155.72	Professional		$44.30	$80.08	$155.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.10 / $33.08 / $69.75	Professional	26	$28.10	$33.08	$69.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $115.31 / $214.24 / $334.86	Professional	50	$115.31	$214.24	$334.86
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $20.18 / $26.98 / $48.65	Professional	52	$20.18	$26.98	$48.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.36 / $44.41 / $80.65	Professional	TC	$16.36	$44.41	$80.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.49 / $225.61 / $538.61	Facility		$84.49	$225.61	$538.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.90 / $74.70 / $119.77	Professional		$53.90	$74.70	$119.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.03 / $35.56 / $56.14	Professional	26	$27.03	$35.56	$56.14
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $79.90 / $109.80 / $177.04	Professional	50	$79.90	$109.80	$177.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.35 / $38.19 / $79.91	Professional	TC	$21.35	$38.19	$79.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.57 / $52.57 / $52.57	Facility		$52.57	$52.57	$52.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.84 / $33.84 / $33.84	Facility	26	$33.84	$33.84	$33.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.42 / $91.73 / $156.63	Professional		$48.42	$91.73	$156.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.38 / $39.82 / $68.15	Professional	26	$27.38	$39.82	$68.15
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.25 / $77.25 / $77.25	Professional	50	$77.25	$77.25	$77.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.07 / $48.45 / $94.00	Professional	TC	$18.07	$48.45	$94.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $81.31 / $139.69	Professional		$56.94	$81.31	$139.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.98 / $35.86 / $61.20	Professional	26	$26.98	$35.86	$61.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.99 / $44.44 / $83.79	Professional	TC	$26.99	$44.44	$83.79