Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.68 / $8.68 / $8.86	Facility	26	$8.68	$8.68	$8.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.54 / $33.96 / $43.13	Professional		$21.54	$33.96	$43.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $9.44 / $10.53	Professional	26	$7.24	$9.44	$10.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.77 / $11.75 / $21.57	Professional	52	$10.77	$11.75	$21.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.30 / $23.65 / $32.60	Professional	TC	$14.30	$23.65	$32.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $121.00 / $121.00	Professional		$73.00	$121.00	$121.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.00 / $38.00 / $38.00	Professional	26	$23.00	$38.00	$38.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.00 / $83.00 / $83.00	Professional	TC	$50.00	$83.00	$83.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $50.53 / $100.77	Professional		$30.95	$50.53	$100.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.28 / $14.84 / $29.97	Professional	26	$10.28	$14.84	$29.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.67 / $35.13 / $69.30	Professional	TC	$20.67	$35.13	$69.30
United Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $55.78 / $107.81	Professional		$38.72	$55.78	$107.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.21 / $17.11 / $33.02	Professional	26	$11.21	$17.11	$33.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.52 / $38.67 / $74.79	Professional	TC	$27.52	$38.67	$74.79