Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.08 / $33.40 / $153.44	Facility		$23.08	$33.40	$153.44
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.67 / $4.84 / $15.69	Facility	26	$3.67	$4.84	$15.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.42 / $30.44 / $61.75	Professional		$22.42	$30.44	$61.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.70 / $3.91 / $14.30	Professional	26	$2.70	$3.91	$14.30
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $8.82 / $11.54 / $27.83	Professional	52	$8.82	$11.54	$27.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.57 / $25.10 / $42.98	Professional	TC	$16.57	$25.10	$42.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.56 / $54.56 / $54.56	Facility		$54.56	$54.56	$54.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $29.36 / $32.61	Professional		$22.18	$29.36	$32.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $3.41 / $4.51 / $5.01	Professional	26	$3.41	$4.51	$5.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.77 / $24.84 / $27.60	Professional	TC	$18.77	$24.84	$27.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.84 / $20.56 / $27.72	Facility		$2.84	$20.56	$27.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.80 / $19.57 / $27.92	Professional		$2.80	$19.57	$27.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.39 / $96.39 / $96.39	Facility		$96.39	$96.39	$96.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $29.74 / $59.08	Professional		$20.39	$29.74	$59.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.10 / $4.53 / $15.91	Professional	26	$3.10	$4.53	$15.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.22 / $25.28 / $42.76	Professional	TC	$17.22	$25.28	$42.76
United Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $26.88 / $55.15	Professional		$19.23	$26.88	$55.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.92 / $4.23 / $10.74	Professional	26	$2.92	$4.23	$10.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.30 / $22.88 / $42.04	Professional	TC	$16.30	$22.88	$42.04