Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.61 / $58.57 / $94.39	Facility	26	$45.61	$58.57	$94.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $253.19 / $580.65	Professional		$135.00	$253.19	$580.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.65 / $55.04 / $152.13	Professional	26	$39.65	$55.04	$152.13
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $62.28 / $80.43 / $137.50	Professional	52	$62.28	$80.43	$137.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $88.96 / $177.61 / $291.63	Professional	TC	$88.96	$177.61	$291.63
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $45.38 / $45.38 / $45.38	Facility	26	$45.38	$45.38	$45.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $222.56 / $430.72	Professional		$128.49	$222.56	$430.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.10 / $61.23 / $115.07	Professional	26	$41.10	$61.23	$115.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $92.54 / $146.94 / $309.68	Professional	TC	$92.54	$146.94	$309.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.27 / $46.27 / $46.27	Facility	26	$46.27	$46.27	$46.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.88 / $256.77 / $432.75	Professional		$130.88	$256.77	$432.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.75 / $65.73 / $109.17	Professional	26	$37.75	$65.73	$109.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.92 / $184.57 / $318.47	Professional	TC	$89.92	$184.57	$318.47
United Facility/Professional Professional Modifier Low / Median / High Price $125.35 / $213.66 / $354.60	Professional		$125.35	$213.66	$354.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.63 / $54.29 / $96.15	Professional	26	$39.63	$54.29	$96.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.78 / $149.18 / $273.08	Professional	TC	$85.78	$149.18	$273.08