Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.75 / $19.50 / $51.29	Facility	26	$11.75	$19.50	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $53.70 / $154.88	Professional		$33.88	$53.70	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $18.62 / $51.29	Professional	26	$10.96	$18.62	$51.29
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $46.77 / $144.54 / $144.54	Professional	52	$46.77	$144.54	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $32.36 / $69.18	Professional	TC	$20.89	$32.36	$69.18
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $15.49 / $15.49 / $15.49	Facility	26	$15.49	$15.49	$15.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $47.86 / $89.13	Professional		$35.48	$47.86	$89.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $17.38 / $29.51	Professional	26	$11.22	$17.38	$29.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $31.62 / $61.66	Professional	TC	$22.39	$31.62	$61.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.16 / $16.98 / $41.69	Facility	26	$3.16	$16.98	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $112.20	Professional		$32.36	$54.95	$112.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $18.62 / $36.31	Professional	26	$10.96	$18.62	$36.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $37.15 / $81.28	Professional	TC	$21.38	$37.15	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $85.11	Professional		$33.88	$44.67	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $14.79 / $27.54	Professional	26	$11.22	$14.79	$27.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $30.90 / $58.88	Professional	TC	$21.38	$30.90	$58.88