Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.72 / $42.72 / $42.72	Facility	26	$42.72	$42.72	$42.72
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $128.26 / $290.85 / $298.58	Facility	TC	$128.26	$290.85	$298.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.58 / $34.00 / $93.62	Professional		$24.58	$34.00	$93.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.21 / $6.61 / $35.83	Professional	26	$5.21	$6.61	$35.83
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.29 / $15.80 / $15.90	Professional	52	$12.29	$15.80	$15.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.37 / $24.98 / $34.89	Professional	TC	$19.37	$24.98	$34.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $48.09 / $68.95	Professional		$41.78	$48.09	$68.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.78 / $8.25 / $13.21	Professional	26	$5.78	$8.25	$13.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.89 / $39.84 / $39.84	Professional	TC	$27.89	$39.84	$39.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $56.79 / $85.04	Professional		$28.32	$56.79	$85.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.87 / $9.98 / $14.30	Professional	26	$5.87	$9.98	$14.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.89 / $46.81 / $71.31	Professional	TC	$21.89	$46.81	$71.31
United Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $39.03 / $73.15	Professional		$23.32	$39.03	$73.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.01 / $8.15 / $14.40	Professional	26	$6.01	$8.15	$14.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.72 / $36.32 / $60.36	Professional	TC	$18.72	$36.32	$60.36