Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.92 / $44.92 / $83.04	Facility		$44.92	$44.92	$83.04
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.25 / $28.25 / $52.22	Facility	26	$28.25	$28.25	$52.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $60.35 / $151.00	Professional		$41.39	$60.35	$151.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.42 / $31.62 / $52.22	Professional	26	$27.42	$31.62	$52.22
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $22.46 / $30.18 / $41.52	Professional	52	$22.46	$30.18	$41.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.67 / $23.72 / $67.98	Professional	TC	$16.67	$23.72	$67.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.57 / $182.57 / $182.57	Facility		$182.57	$182.57	$182.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $119.00 / $119.00	Professional		$119.00	$119.00	$119.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.37 / $175.37 / $175.37	Facility		$175.37	$175.37	$175.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.48 / $84.92 / $140.13	Professional		$43.48	$84.92	$140.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.47 / $35.94 / $59.74	Professional	26	$27.47	$35.94	$59.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.39 / $43.80 / $88.41	Professional	TC	$15.39	$43.80	$88.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.38 / $32.34 / $32.34	Professional		$24.38	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $79.40 / $102.72	Professional		$56.94	$79.40	$102.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.79 / $31.21 / $42.83	Professional	26	$26.79	$31.21	$42.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.07 / $39.70 / $65.43	Professional	TC	$27.07	$39.70	$65.43