Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.55 / $35.61 / $57.44	Facility	26	$26.55	$35.61	$57.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $87.92 / $183.20	Professional		$53.77	$87.92	$183.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.46 / $28.69 / $97.65	Professional	26	$23.46	$28.69	$97.65
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $25.53 / $32.72 / $84.77	Professional	52	$25.53	$32.72	$84.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.59 / $55.88 / $91.93	Professional	TC	$26.59	$55.88	$91.93
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $28.59 / $28.59 / $28.59	Facility	26	$28.59	$28.59	$28.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.03 / $83.76 / $130.96	Professional		$58.03	$83.76	$130.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.20 / $35.29 / $52.52	Professional	26	$26.20	$35.29	$52.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.99 / $48.28 / $85.40	Professional	TC	$31.99	$48.28	$85.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.97 / $30.97 / $30.97	Facility	26	$30.97	$30.97	$30.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.92 / $101.73 / $167.75	Professional		$60.92	$101.73	$167.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.25 / $36.90 / $60.62	Professional	26	$23.25	$36.90	$60.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.96 / $60.63 / $107.50	Professional	TC	$31.96	$60.63	$107.50
United Facility/Professional Professional Modifier Low / Median / High Price $70.03 / $89.41 / $152.91	Professional		$70.03	$89.41	$152.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.83 / $31.71 / $54.00	Professional	26	$25.83	$31.71	$54.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.26 / $58.63 / $98.36	Professional	TC	$43.26	$58.63	$98.36