Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.11 / $77.62	Professional		$19.95	$33.11	$77.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.00 / $4.68 / $29.51	Professional	26	$2.00	$4.68	$29.51
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $16.60 / $21.88 / $36.31	Professional	52	$16.60	$21.88	$36.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $25.12 / $58.88	Professional	TC	$15.85	$25.12	$58.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $109.65 / $199.53	Facility		$81.28	$109.65	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.30 / $39.81	Professional		$19.95	$26.30	$39.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $2.34 / $3.39 / $6.03	Professional	26	$2.34	$3.39	$6.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $22.91 / $33.11	Professional	TC	$16.22	$22.91	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $43.65 / $66.07	Professional		$17.78	$43.65	$66.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.40 / $5.62 / $10.00	Professional	26	$2.40	$5.62	$10.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $34.67 / $57.54	Professional	TC	$15.49	$34.67	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.11 / $57.54	Professional		$22.39	$33.11	$57.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.24 / $4.47 / $12.30	Professional	26	$3.24	$4.47	$12.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $27.54 / $44.67	Professional	TC	$19.05	$27.54	$44.67