Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.32 / $83.32 / $83.32	Facility	26	$83.32	$83.32	$83.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $38.74 / $123.25	Professional		$28.16	$38.74	$123.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.83 / $13.95 / $50.77	Professional	26	$10.83	$13.95	$50.77
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.08 / $19.37 / $19.61	Professional	52	$14.08	$19.37	$19.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.32 / $24.63 / $30.52	Professional	TC	$17.32	$24.63	$30.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.24 / $56.75 / $77.62	Professional		$50.24	$56.75	$77.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.26 / $16.09 / $28.58	Professional	26	$11.26	$16.09	$28.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.48 / $40.68 / $40.68	Professional	TC	$28.48	$40.68	$40.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $68.30 / $92.64	Professional		$37.29	$68.30	$92.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.68 / $19.45 / $27.87	Professional	26	$11.68	$19.45	$27.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.46 / $48.85 / $72.83	Professional	TC	$27.46	$48.85	$72.83
United Facility/Professional Professional Modifier Low / Median / High Price $35.32 / $49.86 / $86.59	Professional		$35.32	$49.86	$86.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.03 / $16.23 / $34.26	Professional	26	$12.03	$16.23	$34.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.68 / $38.59 / $81.64	Professional	TC	$23.68	$38.59	$81.64