Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.37 / $68.37 / $68.37	Facility	26	$68.37	$68.37	$68.37
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $269.36 / $377.26 / $505.69	Facility	TC	$269.36	$377.26	$505.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $45.25 / $164.35	Professional		$31.25	$45.25	$164.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.68 / $11.60 / $61.28	Professional	26	$8.68	$11.60	$61.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $124.11 / $124.11 / $159.72	Professional	50	$124.11	$124.11	$159.72
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.63 / $21.16 / $21.20	Professional	52	$15.63	$21.16	$21.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $30.79 / $34.14	Professional	TC	$22.57	$30.79	$34.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $59.38 / $89.72	Professional		$51.43	$59.38	$89.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.56 / $13.66 / $23.23	Professional	26	$9.56	$13.66	$23.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.00 / $45.71 / $45.71	Professional	TC	$32.00	$45.71	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.58 / $69.91 / $92.37	Professional		$40.58	$69.91	$92.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.69 / $15.97 / $22.89	Professional	26	$9.69	$15.97	$22.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.56 / $53.94 / $81.20	Professional	TC	$29.56	$53.94	$81.20
United Facility/Professional Professional Modifier Low / Median / High Price $31.10 / $50.54 / $106.24	Professional		$31.10	$50.54	$106.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.93 / $14.27 / $23.82	Professional	26	$9.93	$14.27	$23.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.57 / $41.31 / $69.23	Professional	TC	$25.57	$41.31	$69.23