Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.42 / $6.42 / $6.55	Facility	26	$6.42	$6.42	$6.55
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $32.28 / $242.32 / $413.29	Facility	TC	$32.28	$242.32	$413.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $30.77 / $45.29	Professional		$28.04	$30.77	$45.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.34 / $6.52 / $31.00	Professional	26	$5.34	$6.52	$31.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.02 / $15.39 / $22.65	Professional	52	$14.02	$15.39	$22.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $25.10 / $60.52	Professional	TC	$22.57	$25.10	$60.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $160.00 / $160.00	Professional		$97.00	$160.00	$160.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.00 / $28.00 / $28.00	Professional	26	$17.00	$28.00	$28.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $80.00 / $132.00 / $132.00	Professional	TC	$80.00	$132.00	$132.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $42.62 / $87.54	Professional		$29.36	$42.62	$87.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.32 / $10.51 / $18.55	Professional	26	$7.32	$10.51	$18.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.00 / $31.71 / $67.42	Professional	TC	$22.00	$31.71	$67.42
United Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $63.38 / $102.31	Professional		$31.60	$63.38	$102.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.80 / $12.68 / $21.66	Professional	26	$6.80	$12.68	$21.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.80 / $49.67 / $77.98	Professional	TC	$24.80	$49.67	$77.98