Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $16.60 / $47.86	Facility	26	$9.55	$16.60	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $44.67 / $302.00	Professional		$21.88	$44.67	$302.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $10.96 / $53.70	Professional	26	$8.91	$10.96	$53.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $24.55 / $190.55	Professional	TC	$12.88	$24.55	$190.55
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $10.47 / $10.47	Facility	26	$10.47	$10.47	$10.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $42.66 / $181.97	Professional		$21.38	$42.66	$181.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $12.02 / $22.91	Professional	26	$7.41	$12.02	$22.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $30.90 / $162.18	Professional	TC	$12.88	$30.90	$162.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.29 / $12.30 / $29.51	Facility	26	$2.29	$12.30	$29.51
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $3.09 / $5.13 / $7.94	Facility	53	$3.09	$5.13	$7.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $44.67 / $151.36	Professional		$19.95	$44.67	$151.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $13.18 / $25.70	Professional	26	$7.76	$13.18	$25.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.30 / $29.51 / $138.04	Professional	TC	$12.30	$29.51	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $35.48 / $128.82	Professional		$19.95	$35.48	$128.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.72 / $20.42	Professional	26	$8.13	$10.72	$20.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.22 / $19.95 / $107.15	Professional	TC	$11.22	$19.95	$107.15