Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.28 / $91.20 / $267.89	Facility		$17.28	$91.20	$267.89
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.07 / $7.07 / $7.19	Facility	26	$7.07	$7.07	$7.19
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.32 / $238.22 / $238.22	Facility	TC	$20.32	$238.22	$238.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $24.62 / $41.80	Professional		$21.22	$24.62	$41.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.94 / $7.22 / $13.62	Professional	26	$5.94	$7.22	$13.62
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.61 / $11.59 / $17.04	Professional	52	$10.61	$11.59	$17.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.28 / $17.89 / $25.77	Professional	TC	$15.28	$17.89	$25.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $119.00 / $119.00	Professional		$73.00	$119.00	$119.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.00 / $31.00 / $31.00	Professional	26	$19.00	$31.00	$31.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.00 / $88.00 / $88.00	Professional	TC	$54.00	$88.00	$88.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $38.26 / $72.52	Professional		$26.23	$38.26	$72.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.14 / $11.58 / $20.38	Professional	26	$8.14	$11.58	$20.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.68 / $25.83 / $50.28	Professional	TC	$17.68	$25.83	$50.28
United Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $49.44 / $84.45	Professional		$27.52	$49.44	$84.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.49 / $13.86 / $24.19	Professional	26	$7.49	$13.86	$24.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.71 / $35.49 / $60.63	Professional	TC	$19.71	$35.49	$60.63