Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $165.96 / $302.00	Facility	26	$123.03	$165.96	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $707.95	Professional		$199.53	$281.84	$707.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $151.36 / $380.19	Professional	26	$120.23	$151.36	$380.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $616.60 / $616.60 / $616.60	Professional	50	$616.60	$616.60	$616.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $93.33 / $169.82	Professional	TC	$75.86	$93.33	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $426.58	Professional		$169.82	$239.88	$426.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $144.54 / $257.04	Professional	26	$100.00	$144.54	$257.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $100.00 / $190.55	Professional	TC	$70.79	$100.00	$190.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $165.96 / $457.09	Facility	26	$31.62	$165.96	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $331.13 / $660.69	Professional		$213.80	$331.13	$660.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $194.98 / $398.11	Professional	26	$128.82	$194.98	$398.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $134.90 / $263.03	Professional	TC	$83.18	$134.90	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $501.19	Professional		$194.98	$275.42	$501.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $162.18 / $295.12	Professional	26	$114.82	$162.18	$295.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $114.82 / $204.17	Professional	TC	$79.43	$114.82	$204.17