Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.77 / $19.77 / $36.54	Facility		$19.77	$19.77	$36.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.81 / $2.81 / $5.19	Facility	26	$2.81	$2.81	$5.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.77 / $27.19 / $36.54	Professional		$19.77	$27.19	$36.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.81 / $3.91 / $4.87	Professional	26	$2.81	$3.91	$4.87
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $9.89 / $13.28 / $18.27	Professional	52	$9.89	$13.28	$18.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.96 / $25.10 / $31.35	Professional	TC	$16.96	$25.10	$31.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.32 / $57.32 / $57.32	Facility		$57.32	$57.32	$57.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $46.00 / $46.00	Professional		$46.00	$46.00	$46.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.53 / $90.53 / $90.53	Facility		$90.53	$90.53	$90.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $31.84 / $52.36	Professional		$18.28	$31.84	$52.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.69 / $5.84 / $15.43	Professional	26	$2.69	$5.84	$15.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.42 / $24.71 / $39.63	Professional	TC	$15.42	$24.71	$39.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $32.34 / $32.34	Professional		$15.46	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $18.09 / $24.44 / $42.76	Professional		$18.09	$24.44	$42.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.92 / $3.72 / $12.65	Professional	26	$2.92	$3.72	$12.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.30 / $20.09 / $33.26	Professional	TC	$15.30	$20.09	$33.26