Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.87 / $20.97 / $29.66	Facility	26	$18.87	$20.97	$29.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.52 / $63.49 / $176.12	Professional		$54.52	$63.49	$176.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.39 / $18.82 / $40.88	Professional	26	$16.39	$18.82	$40.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $178.50 / $200.26 / $200.26	Professional	50	$178.50	$200.26	$200.26
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $25.99 / $31.25 / $41.77	Professional	52	$25.99	$31.25	$41.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.85 / $44.26 / $72.42	Professional	TC	$37.85	$44.26	$72.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.06 / $70.45 / $110.76	Professional		$50.06	$70.45	$110.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.76 / $20.58 / $33.44	Professional	26	$15.76	$20.58	$33.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.10 / $49.86 / $78.55	Professional	TC	$35.10	$49.86	$78.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.65 / $20.65 / $20.65	Facility	26	$20.65	$20.65	$20.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.87 / $84.49 / $135.69	Professional		$59.87	$84.49	$135.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.66 / $26.05 / $46.19	Professional	26	$18.66	$26.05	$46.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.42 / $57.79 / $100.55	Professional	TC	$40.42	$57.79	$100.55
United Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $77.23 / $129.13	Professional		$55.33	$77.23	$129.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.22 / $23.56 / $39.79	Professional	26	$17.22	$23.56	$39.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.04 / $53.70 / $93.66	Professional	TC	$38.04	$53.70	$93.66