Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.82 / $13.71 / $20.98	Facility	26	$11.82	$13.71	$20.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.17 / $57.89 / $119.38	Professional		$50.17	$57.89	$119.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.08 / $13.25 / $43.77	Professional	26	$11.08	$13.25	$43.77
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $24.03 / $27.42 / $36.45	Professional	52	$24.03	$27.42	$36.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.86 / $43.90 / $73.92	Professional	TC	$38.86	$43.90	$73.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $64.73 / $107.07	Professional		$50.50	$64.73	$107.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.83 / $13.59 / $22.79	Professional	26	$10.83	$13.59	$22.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.25 / $51.12 / $82.68	Professional	TC	$39.25	$51.12	$82.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.55 / $13.55 / $13.55	Facility	26	$13.55	$13.55	$13.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $75.08 / $125.12	Professional		$54.14	$75.08	$125.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.11 / $16.68 / $27.19	Professional	26	$12.11	$16.68	$27.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.20 / $57.79 / $97.65	Professional	TC	$42.20	$57.79	$97.65
United Facility/Professional Professional Modifier Low / Median / High Price $46.88 / $63.20 / $106.57	Professional		$46.88	$63.20	$106.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.02 / $14.40 / $24.84	Professional	26	$11.02	$14.40	$24.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.71 / $48.92 / $82.37	Professional	TC	$36.71	$48.92	$82.37