Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.31 / $4.04 / $6.21	Facility	26	$3.31	$4.04	$6.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $39.09 / $114.60	Professional		$23.47	$39.09	$114.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.95 / $3.93 / $14.99	Professional	26	$2.95	$3.93	$14.99
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.93 / $13.62 / $22.16	Professional	52	$10.93	$13.62	$22.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.03 / $33.61 / $63.65	Professional	TC	$20.03	$33.61	$63.65
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $3.25 / $3.25 / $3.25	Facility	26	$3.25	$3.25	$3.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $43.68 / $93.52	Professional		$23.63	$43.68	$93.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $3.17 / $4.67 / $8.24	Professional	26	$3.17	$4.67	$8.24
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.96 / $38.29 / $88.81	Professional	TC	$20.96	$38.29	$88.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.49 / $3.49 / $3.49	Facility	26	$3.49	$3.49	$3.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $42.43 / $123.86	Professional		$24.88	$42.43	$123.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.37 / $4.87 / $8.11	Professional	26	$3.37	$4.87	$8.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.38 / $37.40 / $108.62	Professional	TC	$22.38	$37.40	$108.62
United Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $40.29 / $110.34	Professional		$24.31	$40.29	$110.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.14 / $4.47 / $7.05	Professional	26	$3.14	$4.47	$7.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.96 / $32.93 / $91.17	Professional	TC	$20.96	$32.93	$91.17