Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $23.99 / $56.23	Facility	26	$16.98	$23.99	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $75.86 / $346.74	Professional		$53.70	$75.86	$346.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $22.91 / $97.72	Professional	26	$15.85	$22.91	$97.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $28.84 / $177.83 / $263.03	Professional	50	$28.84	$177.83	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $44.67 / $81.28	Professional	TC	$37.15	$44.67	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $66.07 / $120.23	Professional		$45.71	$66.07	$120.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $19.95 / $36.31	Professional	26	$15.49	$19.95	$36.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $46.77 / $85.11	Professional	TC	$32.36	$46.77	$85.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.37 / $23.44 / $63.10	Facility	26	$4.37	$23.44	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $190.55	Professional		$57.54	$89.13	$190.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $26.92 / $54.95	Professional	26	$18.20	$26.92	$54.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $61.66 / $134.90	Professional	TC	$39.81	$61.66	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $134.90	Professional		$52.48	$72.44	$134.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $22.39 / $40.74	Professional	26	$15.85	$22.39	$40.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $50.12 / $95.50	Professional	TC	$35.48	$50.12	$95.50