Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $28.18 / $60.26	Facility	26	$18.20	$28.18	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $46.77 / $154.88	Professional		$32.36	$46.77	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $23.99 / $66.07	Professional	26	$16.98	$23.99	$66.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $18.20 / $93.33	Professional	TC	$12.88	$18.20	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $63.10 / $165.96	Professional		$28.84	$63.10	$165.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $31.62 / $66.07	Professional	26	$16.60	$31.62	$66.07
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $43.65 / $83.18 / $229.09	Professional	50	$43.65	$83.18	$229.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $12.30 / $26.92 / $109.65	Professional	TC	$12.30	$26.92	$109.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.13 / $27.54 / $69.18	Facility	26	$5.13	$27.54	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $77.62 / $181.97	Professional		$36.31	$77.62	$181.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $36.31 / $67.61	Professional	26	$19.95	$36.31	$67.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $33.88 / $128.82	Professional	TC	$15.85	$33.88	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $53.70 / $158.49	Professional		$33.88	$53.70	$158.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $28.18 / $51.29	Professional	26	$19.05	$28.18	$51.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $22.91 / $112.20	Professional	TC	$14.45	$22.91	$112.20