Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.75 / $15.85 / $38.90	Facility	26	$11.75	$15.85	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $263.03	Professional		$70.79	$107.15	$263.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $16.22 / $45.71	Professional	26	$10.96	$16.22	$45.71
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $24.55 / $229.09 / $371.54	Professional	52	$24.55	$229.09	$371.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $87.10 / $181.97	Professional	TC	$63.10	$87.10	$181.97
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $13.80 / $13.80	Facility	26	$13.80	$13.80	$13.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $199.53	Professional		$69.18	$109.65	$199.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $14.13 / $27.54	Professional	26	$10.72	$14.13	$27.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $95.50 / $177.83	Professional	TC	$58.88	$95.50	$177.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.88 / $15.49 / $36.31	Facility	26	$2.88	$15.49	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $128.82 / $239.88	Professional		$77.62	$128.82	$239.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $16.98 / $33.11	Professional	26	$11.75	$16.98	$33.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $112.20 / $213.80	Professional	TC	$69.18	$112.20	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $194.98	Professional		$74.13	$107.15	$194.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $14.45 / $26.30	Professional	26	$10.72	$14.45	$26.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $95.50 / $169.82	Professional	TC	$63.10	$95.50	$169.82