Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.38 / $22.38 / $22.38	Facility		$22.38	$22.38	$22.38
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.15 / $3.15 / $3.15	Facility	26	$3.15	$3.15	$3.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.92 / $22.38 / $30.44	Professional		$17.92	$22.38	$30.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.58 / $3.15 / $4.25	Professional	26	$2.58	$3.15	$4.25
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $8.96 / $11.19 / $13.28	Professional	52	$8.96	$11.19	$13.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.34 / $19.23 / $26.21	Professional	TC	$15.34	$19.23	$26.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.23 / $92.51 / $124.46	Facility		$76.23	$92.51	$124.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $41.30 / $48.73	Professional		$30.15	$41.30	$48.73
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.15 / $5.68 / $6.70	Professional	26	$4.15	$5.68	$6.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.00 / $35.61 / $42.03	Professional	TC	$26.00	$35.61	$42.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $22.67 / $57.08	Professional		$16.82	$22.67	$57.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.47 / $3.65 / $10.35	Professional	26	$2.47	$3.65	$10.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $19.30 / $42.08	Professional	TC	$14.13	$19.30	$42.08
United Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $20.14 / $51.22	Professional		$16.97	$20.14	$51.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.50 / $3.02 / $12.69	Professional	26	$2.50	$3.02	$12.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.35 / $16.98 / $38.40	Professional	TC	$14.35	$16.98	$38.40