Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.49 / $42.04 / $48.67	Facility	26	$37.49	$42.04	$48.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.27 / $77.64 / $100.29	Professional		$51.27	$77.64	$100.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.80 / $31.05 / $43.26	Professional	26	$23.80	$31.05	$43.26
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $22.44 / $44.39 / $50.15	Professional	52	$22.44	$44.39	$50.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.71 / $43.86 / $57.80	Professional	TC	$24.71	$43.86	$57.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.26 / $82.40 / $91.56	Professional		$62.26	$82.40	$91.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.96 / $40.98 / $45.53	Professional	26	$30.96	$40.98	$45.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.30 / $41.43 / $46.03	Professional	TC	$31.30	$41.43	$46.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.13 / $74.05 / $138.18	Professional		$64.13	$74.05	$138.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.22 / $99.13 / $127.09	Professional		$58.22	$99.13	$127.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.47 / $42.55 / $58.00	Professional	26	$25.47	$42.55	$58.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.69 / $52.87 / $72.95	Professional	TC	$30.69	$52.87	$72.95
United Facility/Professional Professional Modifier Low / Median / High Price $60.79 / $83.32 / $126.05	Professional		$60.79	$83.32	$126.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.41 / $35.56 / $56.42	Professional	26	$28.41	$35.56	$56.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.40 / $47.42 / $75.25	Professional	TC	$31.40	$47.42	$75.25