Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.83 / $92.17 / $233.11	Professional		$74.83	$92.17	$233.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.34 / $35.78 / $69.50	Professional	26	$28.34	$35.78	$69.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $209.18 / $209.18 / $209.18	Professional	50	$209.18	$209.18	$209.18
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $20.41 / $46.09 / $52.67	Professional	52	$20.41	$46.09	$52.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.55 / $61.95 / $68.56	Professional	TC	$23.55	$61.95	$68.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.50 / $233.23 / $277.60	Facility		$150.50	$233.23	$277.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.93 / $51.72 / $163.60	Professional		$44.93	$51.72	$163.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.80 / $32.57 / $56.83	Professional	26	$22.80	$32.57	$56.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.41 / $19.14 / $19.14	Professional	TC	$13.41	$19.14	$19.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.72 / $181.72 / $181.72	Facility		$181.72	$181.72	$181.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.77 / $80.25 / $143.09	Professional		$51.77	$80.25	$143.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.96 / $35.19 / $63.55	Professional	26	$25.96	$35.19	$63.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.76 / $45.20 / $73.90	Professional	TC	$20.76	$45.20	$73.90
United Facility/Professional Professional Modifier Low / Median / High Price $56.19 / $79.31 / $105.76	Professional		$56.19	$79.31	$105.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.89 / $34.21 / $52.50	Professional	26	$27.89	$34.21	$52.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.46 / $39.95 / $61.55	Professional	TC	$26.46	$39.95	$61.55