Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.29 / $119.96 / $170.98	Facility	26	$105.29	$119.96	$170.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.81 / $413.29 / $861.63	Professional		$312.81	$413.29	$861.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.56 / $117.13 / $232.74	Professional	26	$101.56	$117.13	$232.74
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $150.02 / $283.67 / $326.69	Professional	52	$150.02	$283.67	$326.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $206.93 / $259.74 / $446.69	Professional	TC	$206.93	$259.74	$446.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.47 / $428.76 / $693.72	Professional		$328.47	$428.76	$693.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.59 / $122.81 / $213.82	Professional	26	$100.59	$122.81	$213.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $225.12 / $308.73 / $518.58	Professional	TC	$225.12	$308.73	$518.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.93 / $138.93 / $138.93	Facility	26	$138.93	$138.93	$138.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.55 / $518.78 / $781.86	Professional		$336.55	$518.78	$781.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.34 / $160.30 / $244.55	Professional	26	$108.34	$160.30	$244.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $230.97 / $351.63 / $554.97	Professional	TC	$230.97	$351.63	$554.97
United Facility/Professional Professional Modifier Low / Median / High Price $322.20 / $448.65 / $789.74	Professional		$322.20	$448.65	$789.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.51 / $149.43 / $240.16	Professional	26	$104.51	$149.43	$240.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $219.53 / $299.51 / $548.01	Professional	TC	$219.53	$299.51	$548.01