Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $37.15 / $97.72	Facility	26	$25.12	$37.15	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $66.07 / $208.93	Professional		$45.71	$66.07	$208.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $44.67 / $102.33	Professional	26	$25.12	$44.67	$102.33
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $23.99 / $48.98 / $218.78	Professional	52	$23.99	$48.98	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.18 / $85.11	Professional	TC	$19.05	$28.18	$85.11
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $37.15 / $37.15	Facility	26	$37.15	$37.15	$37.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $128.82	Professional		$47.86	$61.66	$128.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $35.48 / $67.61	Professional	26	$26.92	$35.48	$67.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $28.18 / $61.66	Professional	TC	$22.39	$28.18	$61.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.92 / $37.15 / $91.20	Facility	26	$6.92	$37.15	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $72.44 / $141.25	Professional		$42.66	$72.44	$141.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $39.81 / $77.62	Professional	26	$23.44	$39.81	$77.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $33.88 / $66.07	Professional	TC	$19.50	$33.88	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $61.66 / $109.65	Professional		$44.67	$61.66	$109.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $33.88 / $60.26	Professional	26	$24.55	$33.88	$60.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $28.18 / $50.12	Professional	TC	$20.42	$28.18	$50.12