Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $234.42	Professional		$51.29	$69.18	$234.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $22.91 / $75.86	Professional	26	$15.85	$22.91	$75.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $28.84 / $28.84 / $28.84	Professional	50	$28.84	$28.84	$28.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $46.77 / $93.33	Professional	TC	$37.15	$46.77	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $109.65	Professional		$89.13	$109.65	$109.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $32.36 / $32.36	Professional	26	$25.70	$32.36	$32.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $77.62 / $77.62	Professional	TC	$64.57	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $138.04	Professional		$77.62	$112.20	$138.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $31.62 / $40.74	Professional	26	$24.55	$31.62	$40.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $79.43 / $95.50	Professional	TC	$52.48	$79.43	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $204.17	Professional		$74.13	$109.65	$204.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $33.88 / $61.66	Professional	26	$23.44	$33.88	$61.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $77.62 / $144.54	Professional	TC	$51.29	$77.62	$144.54