Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.68 / $16.85 / $29.72	Facility	26	$12.68	$16.85	$29.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $42.61 / $104.85	Professional		$34.85	$42.61	$104.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.64 / $14.01 / $31.95	Professional	26	$11.64	$14.01	$31.95
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $17.05 / $21.07 / $27.14	Professional	52	$17.05	$21.07	$27.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $27.74 / $55.94	Professional	TC	$22.26	$27.74	$55.94
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $15.35 / $15.35 / $15.35	Facility	26	$15.35	$15.35	$15.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.01 / $50.78 / $82.22	Professional		$38.01	$50.78	$82.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.62 / $17.80 / $26.31	Professional	26	$12.62	$17.80	$26.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.31 / $33.93 / $55.34	Professional	TC	$24.31	$33.93	$55.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.96 / $14.96 / $14.96	Facility	26	$14.96	$14.96	$14.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $53.05 / $93.51	Professional		$37.29	$53.05	$93.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.15 / $18.71 / $30.32	Professional	26	$12.15	$18.71	$30.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $35.54 / $64.62	Professional	TC	$23.82	$35.54	$64.62
United Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $47.28 / $83.24	Professional		$36.88	$47.28	$83.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.64 / $16.00 / $31.31	Professional	26	$12.64	$16.00	$31.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.54 / $32.29 / $67.16	Professional	TC	$23.54	$32.29	$67.16