Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.02 / $4.57 / $10.72	Facility	26	$3.02	$4.57	$10.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $42.66 / $169.82	Professional		$22.91	$42.66	$169.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.88 / $4.68 / $15.14	Professional	26	$2.88	$4.68	$15.14
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $3.47 / $5.25 / $11.48	Professional	52	$3.47	$5.25	$11.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $28.84 / $87.10	Professional	TC	$18.20	$28.84	$87.10
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $3.24 / $3.24 / $3.24	Facility	26	$3.24	$3.24	$3.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $44.67 / $151.36	Professional		$20.42	$44.67	$151.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $4.79 / $9.12	Professional	26	$3.02	$4.79	$9.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $41.69 / $144.54	Professional	TC	$19.95	$41.69	$144.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $0.74 / $3.98 / $9.55	Facility	26	$0.74	$3.98	$9.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $44.67 / $141.25	Professional		$23.44	$44.67	$141.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.24 / $4.90 / $9.12	Professional	26	$3.24	$4.90	$9.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $39.81 / $123.03	Professional	TC	$21.88	$39.81	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $35.48 / $117.49	Professional		$22.39	$35.48	$117.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.88 / $4.17 / $7.24	Professional	26	$2.88	$4.17	$7.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.20 / $104.71	Professional	TC	$19.05	$30.20	$104.71