Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.05 / $300.70 / $747.25	Facility		$88.05	$300.70	$747.25
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.03 / $8.03 / $8.19	Facility	26	$8.03	$8.03	$8.19
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $243.40 / $311.60 / $448.94	Facility	TC	$243.40	$311.60	$448.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $29.28 / $61.75	Professional		$8.00	$29.28	$61.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.11 / $8.40 / $42.59	Professional	26	$7.11	$8.40	$42.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $39.82 / $39.82 / $39.82	Professional	50	$39.82	$39.82	$39.82
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.84 / $15.15 / $22.11	Professional	52	$13.84	$15.15	$22.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.96 / $24.87 / $208.18	Professional	TC	$20.96	$24.87	$208.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $156.00 / $156.00	Professional		$94.00	$156.00	$156.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.00 / $35.00 / $35.00	Professional	26	$21.00	$35.00	$35.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $73.00 / $121.00 / $121.00	Professional	TC	$73.00	$121.00	$121.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $45.07 / $88.76	Professional		$30.95	$45.07	$88.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.22 / $13.18 / $23.13	Professional	26	$9.22	$13.18	$23.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.64 / $32.06 / $62.29	Professional	TC	$21.64	$32.06	$62.29
United Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $62.12 / $105.61	Professional		$32.61	$62.12	$105.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.50 / $15.84 / $27.06	Professional	26	$8.50	$15.84	$27.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.12 / $46.08 / $77.98	Professional	TC	$24.12	$46.08	$77.98