Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $52.48 / $107.15	Facility	26	$36.31	$52.48	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $309.03	Professional		$102.33	$158.49	$309.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $47.86 / $154.88	Professional	26	$34.67	$47.86	$154.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $61.66 / $602.56 / $602.56	Professional	50	$61.66	$602.56	$602.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $89.13 / $208.93	Professional	TC	$57.54	$89.13	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $263.03	Professional		$95.50	$138.04	$263.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $50.12 / $87.10	Professional	26	$33.11	$50.12	$87.10
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $204.17 / $389.05	Professional	50	$141.25	$204.17	$389.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $85.11 / $181.97	Professional	TC	$56.23	$85.11	$181.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $53.70 / $134.90	Facility	26	$10.00	$53.70	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $165.96 / $407.38	Professional		$102.33	$165.96	$407.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $60.26 / $120.23	Professional	26	$38.90	$60.26	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $112.20 / $302.00	Professional	TC	$61.66	$112.20	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $229.09	Professional		$89.13	$128.82	$229.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $47.86 / $87.10	Professional	26	$34.67	$47.86	$87.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $77.62 / $147.91	Professional	TC	$51.29	$77.62	$147.91