Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.41 / $225.06 / $591.00	Facility		$92.41	$225.06	$591.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.05 / $49.05 / $89.78	Facility	26	$49.05	$49.05	$89.78
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $43.37 / $79.40 / $873.38	Facility	TC	$43.37	$79.40	$873.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.37 / $56.37 / $93.32	Professional		$56.37	$56.37	$93.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.76 / $77.53 / $600.54	Professional	26	$27.76	$77.53	$600.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $28.19 / $28.19 / $41.49	Professional	52	$28.19	$28.19	$41.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.52 / $27.52 / $55.21	Professional	TC	$27.52	$27.52	$55.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.79 / $71.79 / $119.40	Professional		$71.79	$71.79	$119.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.13 / $35.90 / $43.68	Professional	26	$25.13	$35.90	$43.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.13 / $35.90 / $35.90	Professional	TC	$25.13	$35.90	$35.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.83 / $51.83 / $51.83	Facility		$51.83	$51.83	$51.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.34 / $91.81 / $126.51	Professional		$37.34	$91.81	$126.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $0.38 / $51.32 / $63.79	Professional	26	$0.38	$51.32	$63.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $0.41 / $32.81 / $64.48	Professional	TC	$0.41	$32.81	$64.48
United Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $74.23 / $118.78	Professional		$44.59	$74.23	$118.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.39 / $45.10 / $61.00	Professional	26	$19.39	$45.10	$61.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.27 / $34.65 / $53.87	Professional	TC	$27.27	$34.65	$53.87