Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.57 / $53.75 / $159.22	Facility		$22.57	$53.75	$159.22
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.06 / $3.15 / $5.19	Facility	26	$3.06	$3.15	$5.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $29.17 / $52.45	Professional		$19.95	$29.17	$52.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.71 / $3.91 / $7.37	Professional	26	$2.71	$3.91	$7.37
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.67 / $77.45 / $226.50	Professional	50	$69.67	$77.45	$226.50
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $9.19 / $11.46 / $15.84	Professional	52	$9.19	$11.46	$15.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.96 / $25.10 / $37.39	Professional	TC	$16.96	$25.10	$37.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.10 / $165.00 / $331.80	Facility		$33.10	$165.00	$331.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $32.49 / $55.45	Professional		$21.24	$32.49	$55.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $2.93 / $4.88 / $9.82	Professional	26	$2.93	$4.88	$9.82
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $31.29 / $43.80 / $71.43	Professional	50	$31.29	$43.80	$71.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.12 / $26.31 / $47.76	Professional	TC	$18.12	$26.31	$47.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $26.10 / $33.15	Facility		$26.10	$26.10	$33.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.41 / $3.41 / $3.41	Facility	26	$3.41	$3.41	$3.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.76 / $37.65 / $63.95	Professional		$20.76	$37.65	$63.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.98 / $5.52 / $13.28	Professional	26	$2.98	$5.52	$13.28
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $55.76 / $55.76 / $55.76	Professional	50	$55.76	$55.76	$55.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.88 / $30.71 / $50.28	Professional	TC	$17.88	$30.71	$50.28
United Facility/Professional Facility Modifier Low / Median / High Price $26.80 / $26.80 / $26.80	Facility		$26.80	$26.80	$26.80
United Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $31.52 / $56.29	Professional		$20.72	$31.52	$56.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.01 / $4.46 / $12.41	Professional	26	$3.01	$4.46	$12.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.93 / $25.38 / $42.98	Professional	TC	$17.93	$25.38	$42.98