Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.06 / $29.06 / $29.80	Facility	26	$29.06	$29.06	$29.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.64 / $79.12 / $88.77	Professional		$50.64	$79.12	$88.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.51 / $29.80 / $39.29	Professional	26	$23.51	$29.80	$39.29
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $25.32 / $39.97 / $44.39	Professional	52	$25.32	$39.97	$44.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.14 / $45.75 / $56.95	Professional	TC	$27.14	$45.75	$56.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $282.00 / $282.00	Professional		$172.00	$282.00	$282.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.00 / $125.00 / $125.00	Professional	26	$76.00	$125.00	$125.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $96.00 / $157.00 / $157.00	Professional	TC	$96.00	$157.00	$157.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.56 / $110.83 / $237.33	Professional		$63.56	$110.83	$237.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.71 / $47.26 / $85.88	Professional	26	$27.71	$47.26	$85.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.85 / $69.81 / $150.38	Professional	TC	$35.85	$69.81	$150.38
United Facility/Professional Professional Modifier Low / Median / High Price $78.15 / $119.16 / $258.70	Professional		$78.15	$119.16	$258.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.24 / $61.30 / $105.31	Professional	26	$30.24	$61.30	$105.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.06 / $69.65 / $153.40	Professional	TC	$51.06	$69.65	$153.40