Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $57.54 / $114.82	Facility	26	$43.65	$57.54	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $169.82 / $549.54	Professional		$85.11	$169.82	$549.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $72.44 / $239.88	Professional	26	$41.69	$72.44	$239.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $295.12 / $562.34	Professional	50	$169.82	$295.12	$562.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $53.70 / $97.72	Professional	TC	$39.81	$53.70	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $186.21	Professional		$74.13	$107.15	$186.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $51.29 / $91.20	Professional	26	$38.90	$51.29	$91.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $56.23 / $100.00	Professional	TC	$35.48	$56.23	$100.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $57.54 / $158.49	Facility	26	$10.72	$57.54	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $295.12	Professional		$91.20	$134.90	$295.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $67.61 / $138.04	Professional	26	$44.67	$67.61	$138.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $69.18 / $154.88	Professional	TC	$44.67	$69.18	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $208.93	Professional		$81.28	$112.20	$208.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $56.23 / $102.33	Professional	26	$39.81	$56.23	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $56.23 / $109.65	Professional	TC	$39.81	$56.23	$109.65