Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $7.59 / $7.59	Facility	26	$7.59	$7.59	$7.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.30 / $27.54	Professional		$9.55	$12.30	$27.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $7.76 / $16.22	Professional	26	$6.03	$7.76	$16.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $29.51 / $29.51 / $29.51	Professional	50	$29.51	$29.51	$29.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $6.92	Professional	TC	$3.02	$3.98	$6.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $45.71 / $45.71	Professional		$28.84	$45.71	$45.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $30.90 / $30.90	Professional	26	$19.95	$30.90	$30.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $15.14 / $15.14	Professional	TC	$8.91	$15.14	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $21.38 / $43.65	Professional		$12.30	$21.38	$43.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $13.49 / $28.18	Professional	26	$8.91	$13.49	$28.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.39 / $7.08 / $15.85	Professional	TC	$3.39	$7.08	$15.85
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $21.38 / $44.67	Professional		$11.75	$21.38	$44.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $14.45 / $30.90	Professional	26	$8.71	$14.45	$30.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.89 / $6.92 / $14.13	Professional	TC	$3.89	$6.92	$14.13