Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.35 / $39.35 / $39.35	Facility	26	$39.35	$39.35	$39.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.35 / $70.01 / $85.00	Professional		$43.35	$70.01	$85.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.60 / $26.28 / $39.35	Professional	26	$19.60	$26.28	$39.35
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $21.68 / $31.87 / $42.50	Professional	52	$21.68	$31.87	$42.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.11 / $43.74 / $45.65	Professional	TC	$24.11	$43.74	$45.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $110.00 / $129.80	Professional		$77.00	$110.00	$129.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.40 / $52.00 / $61.36	Professional	26	$36.40	$52.00	$61.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.60 / $58.00 / $68.44	Professional	TC	$40.60	$58.00	$68.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.39 / $30.39 / $30.39	Facility	26	$30.39	$30.39	$30.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.11 / $89.01 / $205.62	Professional		$53.11	$89.01	$205.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.20 / $38.27 / $88.33	Professional	26	$24.20	$38.27	$88.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.76 / $54.53 / $133.24	Professional	TC	$30.76	$54.53	$133.24
United Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $62.41 / $95.69	Professional		$50.89	$62.41	$95.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.47 / $29.54 / $39.03	Professional	26	$22.47	$29.54	$39.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.07 / $34.29 / $59.69	Professional	TC	$27.07	$34.29	$59.69