Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $28.18 / $50.12	Facility	26	$20.89	$28.18	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $100.00	Professional		$30.20	$38.90	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $26.30 / $85.11	Professional	26	$19.95	$26.30	$85.11
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $33.11 / $33.11 / $97.72	Professional	52	$33.11	$33.11	$97.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $12.02 / $25.12	Professional	TC	$10.00	$12.02	$25.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.90 / $72.44	Professional		$27.54	$38.90	$72.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $28.18 / $47.86	Professional	26	$19.50	$28.18	$47.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.77 / $14.79 / $28.18	Professional	TC	$9.77	$14.79	$28.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.37 / $28.84 / $50.12	Facility	26	$5.37	$28.84	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $93.33	Professional		$33.88	$46.77	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $30.90 / $60.26	Professional	26	$22.39	$30.90	$60.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.22 / $15.85 / $33.88	Professional	TC	$11.22	$15.85	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.90 / $67.61	Professional		$28.18	$38.90	$67.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $25.70 / $45.71	Professional	26	$19.05	$25.70	$45.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.12 / $12.59 / $22.39	Professional	TC	$9.12	$12.59	$22.39