Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.36 / $22.10 / $25.55	Facility	26	$21.36	$22.10	$25.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $49.69 / $134.22	Professional		$33.35	$49.69	$134.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.73 / $25.92 / $39.04	Professional	26	$18.73	$25.92	$39.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $21.57 / $97.42	Professional	TC	$14.45	$21.57	$97.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.52 / $59.50 / $112.72	Professional		$37.52	$59.50	$112.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.30 / $30.91 / $49.19	Professional	26	$20.30	$30.91	$49.19
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $52.39 / $73.72 / $160.96	Professional	50	$52.39	$73.72	$160.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.64 / $27.16 / $69.45	Professional	TC	$16.64	$27.16	$69.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.05 / $24.05 / $24.05	Facility	26	$24.05	$24.05	$24.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $74.84 / $173.62	Professional		$38.40	$74.84	$173.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.58 / $36.31 / $59.68	Professional	26	$21.58	$36.31	$59.68
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $104.12 / $104.12 / $104.12	Professional	50	$104.12	$104.12	$104.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.05 / $32.34 / $123.21	Professional	TC	$16.05	$32.34	$123.21
United Facility/Professional Professional Modifier Low / Median / High Price $37.07 / $60.30 / $149.79	Professional		$37.07	$60.30	$149.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.15 / $29.42 / $51.01	Professional	26	$21.15	$29.42	$51.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.72 / $24.55 / $104.51	Professional	TC	$15.72	$24.55	$104.51