Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.42 / $146.34 / $202.93	Facility	26	$134.42	$146.34	$202.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.86 / $240.87 / $499.77	Professional		$198.86	$240.87	$499.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $119.42 / $138.21 / $261.07	Professional	26	$119.42	$138.21	$261.07
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $617.00 / $617.00 / $617.00	Professional	50	$617.00	$617.00	$617.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $78.31 / $92.39 / $137.05	Professional	TC	$78.31	$92.39	$137.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.98 / $226.65 / $372.97	Professional		$181.98	$226.65	$372.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $105.05 / $134.78 / $225.70	Professional	26	$105.05	$134.78	$225.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.32 / $92.39 / $148.68	Professional	TC	$75.32	$92.39	$148.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.65 / $147.65 / $147.65	Facility	26	$147.65	$147.65	$147.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.16 / $302.58 / $521.94	Professional		$195.16	$302.58	$521.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $133.44 / $186.00 / $330.72	Professional	26	$133.44	$186.00	$330.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $84.42 / $129.87 / $216.97	Professional	TC	$84.42	$129.87	$216.97
United Facility/Professional Professional Modifier Low / Median / High Price $210.71 / $282.50 / $472.70	Professional		$210.71	$282.50	$472.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $124.64 / $171.46 / $302.67	Professional	26	$124.64	$171.46	$302.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.82 / $117.96 / $206.92	Professional	TC	$85.82	$117.96	$206.92