Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $33.11 / $33.11	Facility	26	$33.11	$33.11	$33.11
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $128.82 / $288.40 / $467.74	Facility	TC	$128.82	$288.40	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $39.81 / $100.00	Professional		$12.88	$39.81	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $12.88 / $33.88	Professional	26	$6.03	$12.88	$33.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $18.20 / $117.49 / $181.97	Professional	50	$18.20	$117.49	$181.97
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $19.95 / $33.88 / $67.61	Professional	52	$19.95	$33.88	$67.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $33.11 / $95.50	Professional	TC	$19.50	$33.11	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $47.86 / $72.44	Professional		$36.31	$47.86	$72.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $8.32 / $13.80	Professional	26	$5.75	$8.32	$13.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $38.02 / $52.48	Professional	TC	$28.18	$38.02	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $56.23 / $79.43	Professional		$26.92	$56.23	$79.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $12.30 / $14.79	Professional	26	$5.75	$12.30	$14.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $46.77 / $75.86	Professional	TC	$21.38	$46.77	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $38.90 / $69.18	Professional		$22.39	$38.90	$69.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $8.13 / $13.49	Professional	26	$5.89	$8.13	$13.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $33.11 / $66.07	Professional	TC	$16.98	$33.11	$66.07