Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.34 / $29.05 / $44.32	Facility	26	$27.34	$29.05	$44.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.62 / $53.25 / $139.41	Professional		$44.62	$53.25	$139.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.72 / $28.99 / $56.16	Professional	26	$24.72	$28.99	$56.16
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $54.11 / $54.11 / $54.11	Professional	52	$54.11	$54.11	$54.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.22 / $23.83 / $38.85	Professional	TC	$19.22	$23.83	$38.85
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $37.26 / $37.26 / $37.26	Facility	26	$37.26	$37.26	$37.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.49 / $59.62 / $92.15	Professional		$49.49	$59.62	$92.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.60 / $34.37 / $58.60	Professional	26	$27.60	$34.37	$58.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.76 / $25.79 / $42.83	Professional	TC	$20.76	$25.79	$42.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.40 / $32.40 / $32.40	Facility	26	$32.40	$32.40	$32.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $39.28 / $39.28	Professional		$39.28	$39.28	$39.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.29 / $25.29 / $25.29	Professional	26	$25.29	$25.29	$25.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.99 / $13.99 / $13.99	Professional	TC	$13.99	$13.99	$13.99
United Facility/Professional Professional Modifier Low / Median / High Price $52.20 / $65.55 / $106.29	Professional		$52.20	$65.55	$106.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.24 / $36.82 / $60.14	Professional	26	$28.24	$36.82	$60.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.66 / $29.66 / $47.99	Professional	TC	$22.66	$29.66	$47.99