Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.59 / $44.54 / $53.85	Facility	26	$40.59	$44.54	$53.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.31 / $146.91 / $267.42	Professional		$109.31	$146.91	$267.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.45 / $47.50 / $93.79	Professional	26	$37.45	$47.50	$93.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $604.69 / $604.69 / $604.69	Professional	50	$604.69	$604.69	$604.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.69 / $94.50 / $200.77	Professional	TC	$69.69	$94.50	$200.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.18 / $142.00 / $246.15	Professional		$102.18	$142.00	$246.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.27 / $49.03 / $82.31	Professional	26	$37.27	$49.03	$82.31
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $147.89 / $212.15 / $354.18	Professional	50	$147.89	$212.15	$354.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.80 / $90.03 / $162.94	Professional	TC	$63.80	$90.03	$162.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.14 / $47.14 / $47.14	Facility	26	$47.14	$47.14	$47.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.99 / $162.31 / $278.92	Professional		$110.99	$162.31	$278.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.03 / $57.67 / $97.81	Professional	26	$39.03	$57.67	$97.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.18 / $107.59 / $188.76	Professional	TC	$64.18	$107.59	$188.76
United Facility/Professional Professional Modifier Low / Median / High Price $99.15 / $142.63 / $236.63	Professional		$99.15	$142.63	$236.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.63 / $52.61 / $85.91	Professional	26	$39.63	$52.61	$85.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.32 / $84.98 / $151.04	Professional	TC	$56.32	$84.98	$151.04