Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.63 / $462.90 / $964.40	Facility		$138.63	$462.90	$964.40
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.24 / $26.33 / $51.15	Facility	26	$23.24	$26.33	$51.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.82 / $140.61 / $356.91	Professional		$113.82	$140.61	$356.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.45 / $24.38 / $78.12	Professional	26	$18.45	$24.38	$78.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $206.46 / $206.46 / $206.46	Professional	50	$206.46	$206.46	$206.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.16 / $112.49 / $192.90	Professional	TC	$97.16	$112.49	$192.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.51 / $377.38 / $876.00	Facility		$182.51	$377.38	$876.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $26.23 / $26.23 / $26.23	Facility	26	$26.23	$26.23	$26.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.11 / $155.97 / $240.52	Professional		$117.11	$155.97	$240.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.99 / $25.03 / $41.11	Professional	26	$19.99	$25.03	$41.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $99.63 / $130.36 / $200.45	Professional	TC	$99.63	$130.36	$200.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.86 / $273.56 / $455.25	Facility		$148.86	$273.56	$455.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.35 / $26.35 / $26.35	Facility	26	$26.35	$26.35	$26.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.08 / $209.95 / $358.60	Professional		$140.08	$209.95	$358.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.43 / $30.58 / $53.01	Professional	26	$21.43	$30.58	$53.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.73 / $185.97 / $310.24	Professional	TC	$117.73	$185.97	$310.24
United Facility/Professional Professional Modifier Low / Median / High Price $142.31 / $199.51 / $329.52	Professional		$142.31	$199.51	$329.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.64 / $27.76 / $49.90	Professional	26	$20.64	$27.76	$49.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.57 / $169.66 / $289.92	Professional	TC	$120.57	$169.66	$289.92