Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.92 / $238.95 / $655.50	Facility		$34.92	$238.95	$655.50
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.71 / $7.71 / $7.87	Facility	26	$7.71	$7.71	$7.87
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.49 / $231.08 / $245.74	Facility	TC	$26.49	$231.08	$245.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $28.10 / $41.30	Professional		$14.80	$28.10	$41.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.43 / $9.15 / $42.93	Professional	26	$6.43	$9.15	$42.93
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.84 / $14.05 / $20.65	Professional	52	$12.84	$14.05	$20.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.23 / $21.28 / $32.15	Professional	TC	$19.23	$21.28	$32.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $145.00 / $145.00	Professional		$87.00	$145.00	$145.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.00 / $34.00 / $34.00	Professional	26	$20.00	$34.00	$34.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.00 / $111.00 / $111.00	Professional	TC	$67.00	$111.00	$111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.00 / $82.75	Professional		$28.84	$42.00	$82.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.83 / $12.92 / $26.30	Professional	26	$8.83	$12.92	$26.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.12 / $28.43 / $55.32	Professional	TC	$19.12	$28.43	$55.32
United Facility/Professional Professional Modifier Low / Median / High Price $30.92 / $59.21 / $100.10	Professional		$30.92	$59.21	$100.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.51 / $15.12 / $27.51	Professional	26	$9.51	$15.12	$27.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.41 / $44.09 / $68.89	Professional	TC	$21.41	$44.09	$68.89