Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.54 / $197.54 / $197.54	Facility		$197.54	$197.54	$197.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $23.83 / $34.52	Professional		$18.00	$23.83	$34.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.62 / $3.99 / $6.78	Professional	26	$2.62	$3.99	$6.78
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $9.39 / $9.98 / $17.26	Professional	52	$9.39	$9.98	$17.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.16 / $26.21 / $30.15	Professional	TC	$16.16	$26.21	$30.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $42.00 / $42.00	Professional		$34.00	$42.00	$42.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.00 / $5.00 / $5.00	Professional	26	$4.00	$5.00	$5.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.00 / $37.00 / $37.00	Professional	TC	$30.00	$37.00	$37.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $39.78 / $58.81	Professional		$27.16	$39.78	$58.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.29 / $6.22 / $15.26	Professional	26	$4.29	$6.22	$15.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.88 / $33.29 / $49.27	Professional	TC	$22.88	$33.29	$49.27
United Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $41.85 / $90.20	Professional		$34.72	$41.85	$90.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.05 / $6.08 / $16.29	Professional	26	$5.05	$6.08	$16.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.68 / $35.77 / $76.98	Professional	TC	$29.68	$35.77	$76.98