Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.42 / $7.98 / $15.32	Facility	26	$6.42	$7.98	$15.32
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $32.73 / $116.87 / $364.58	Facility	TC	$32.73	$116.87	$364.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.47 / $38.42 / $115.80	Professional		$24.47	$38.42	$115.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.83 / $8.52 / $30.49	Professional	26	$5.83	$8.52	$30.49
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $62.67 / $96.06 / $129.88	Professional	50	$62.67	$96.06	$129.88
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.86 / $17.67 / $23.59	Professional	52	$13.86	$17.67	$23.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $29.89 / $65.05	Professional	TC	$22.57	$29.89	$65.05
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $7.49 / $7.49 / $7.49	Facility	26	$7.49	$7.49	$7.49
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $25.55 / $25.55 / $25.55	Facility	TC	$25.55	$25.55	$25.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.28 / $38.39 / $69.63	Professional		$30.28	$38.39	$69.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.13 / $8.99 / $13.49	Professional	26	$6.13	$8.99	$13.49
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $42.21 / $54.84 / $93.48	Professional	50	$42.21	$54.84	$93.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.57 / $30.26 / $56.26	Professional	TC	$23.57	$30.26	$56.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.66 / $7.66 / $7.66	Facility	26	$7.66	$7.66	$7.66
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $35.40 / $35.40 / $35.40	Facility	TC	$35.40	$35.40	$35.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $41.90 / $78.63	Professional		$26.58	$41.90	$78.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.99 / $9.33 / $15.12	Professional	26	$5.99	$9.33	$15.12
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.71 / $43.71 / $49.70	Professional	50	$43.71	$43.71	$49.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.72 / $32.40 / $63.19	Professional	TC	$19.72	$32.40	$63.19
United Facility/Professional Professional Modifier Low / Median / High Price $26.59 / $36.88 / $68.56	Professional		$26.59	$36.88	$68.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.20 / $7.94 / $13.94	Professional	26	$6.20	$7.94	$13.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.87 / $30.31 / $56.80	Professional	TC	$20.87	$30.31	$56.80