Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $19.05 / $37.15	Facility	26	$15.85	$19.05	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $165.96	Professional		$93.33	$120.23	$165.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $14.79 / $19.95	Professional	26	$12.02	$14.79	$19.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $102.33 / $138.04	Professional	TC	$79.43	$102.33	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $107.15 / $251.19	Professional		$61.66	$107.15	$251.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $18.20 / $35.48	Professional	26	$13.18	$18.20	$35.48
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $97.72 / $165.96 / $371.54	Professional	50	$97.72	$165.96	$371.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $93.33 / $218.78	Professional	TC	$50.12	$93.33	$218.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.55 / $19.05 / $37.15	Facility	26	$3.55	$19.05	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $338.84	Professional		$85.11	$134.90	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $18.62 / $39.81	Professional	26	$12.30	$18.62	$39.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $120.23 / $302.00	Professional	TC	$74.13	$120.23	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $194.98	Professional		$75.86	$104.71	$194.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $14.79 / $26.30	Professional	26	$11.22	$14.79	$26.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $89.13 / $165.96	Professional	TC	$63.10	$89.13	$165.96