Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.89 / $8.71 / $24.55	Facility	26	$5.89	$8.71	$24.55
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.51 / $112.20 / $407.38	Facility	TC	$29.51	$112.20	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $43.65 / $128.82	Professional		$13.80	$43.65	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $11.22 / $32.36	Professional	26	$6.03	$11.22	$32.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $24.55 / $107.15 / $186.21	Professional	50	$24.55	$107.15	$186.21
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $17.38 / $50.12 / $158.49	Professional	52	$17.38	$50.12	$158.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $37.15 / $79.43	Professional	TC	$22.39	$37.15	$79.43
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $7.41 / $7.41 / $7.41	Facility	26	$7.41	$7.41	$7.41
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $25.70 / $25.70 / $25.70	Facility	TC	$25.70	$25.70	$25.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.31 / $74.13	Professional		$25.12	$36.31	$74.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $8.71 / $15.14	Professional	26	$5.62	$8.71	$15.14
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $38.02 / $54.95 / $104.71	Professional	50	$38.02	$54.95	$104.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $28.84 / $58.88	Professional	TC	$17.78	$28.84	$58.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.62 / $8.71 / $20.89	Facility	26	$1.62	$8.71	$20.89
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $7.41 / $38.90 / $104.71	Facility	TC	$7.41	$38.90	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $41.69 / $93.33	Professional		$25.70	$41.69	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $9.33 / $18.20	Professional	26	$5.62	$9.33	$18.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $34.67 / $81.28	Professional	TC	$19.50	$34.67	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $36.31 / $69.18	Professional		$23.99	$36.31	$69.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $7.24 / $14.13	Professional	26	$5.62	$7.24	$14.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $28.84 / $56.23	Professional	TC	$18.62	$28.84	$56.23