Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.11 / $52.37 / $78.96	Facility	26	$46.11	$52.37	$78.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $111.18 / $393.00	Professional		$84.00	$111.18	$393.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.08 / $50.34 / $111.70	Professional	26	$42.08	$50.34	$111.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $202.05 / $307.83 / $392.92	Professional	50	$202.05	$307.83	$392.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.17 / $51.12 / $85.15	Professional	TC	$40.17	$51.12	$85.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.40 / $110.42 / $171.92	Professional		$81.40	$110.42	$171.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.54 / $50.78 / $84.49	Professional	26	$39.54	$50.78	$84.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.10 / $57.81 / $92.26	Professional	TC	$40.10	$57.81	$92.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.51 / $50.51 / $50.51	Facility	26	$50.51	$50.51	$50.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.52 / $126.10 / $213.24	Professional		$88.52	$126.10	$213.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.61 / $64.97 / $114.06	Professional	26	$45.61	$64.97	$114.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.84 / $66.06 / $118.81	Professional	TC	$44.84	$66.06	$118.81
United Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $120.59 / $201.97	Professional		$85.60	$120.59	$201.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.78 / $58.92 / $97.84	Professional	26	$43.78	$58.92	$97.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.20 / $60.28 / $103.11	Professional	TC	$43.20	$60.28	$103.11