Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $60.26 / $158.49	Facility	26	$41.69	$60.26	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $251.19 / $831.76	Professional		$128.82	$251.19	$831.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $61.66 / $194.98	Professional	26	$38.02	$61.66	$194.98
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $46.77 / $47.86 / $741.31	Professional	52	$46.77	$47.86	$741.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $158.49 / $363.08	Professional	TC	$87.10	$158.49	$363.08
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $45.71 / $45.71	Facility	26	$45.71	$45.71	$45.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $234.42 / $446.68	Professional		$128.82	$234.42	$446.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $64.57 / $117.49	Professional	26	$40.74	$64.57	$117.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $177.83 / $338.84	Professional	TC	$93.33	$177.83	$338.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $52.48 / $128.82	Facility	26	$10.00	$52.48	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $251.19 / $446.68	Professional		$123.03	$251.19	$446.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $63.10 / $117.49	Professional	26	$34.67	$63.10	$117.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $173.78 / $331.13	Professional	TC	$83.18	$173.78	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $363.08	Professional		$120.23	$194.98	$363.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $51.29 / $95.50	Professional	26	$37.15	$51.29	$95.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $138.04 / $269.15	Professional	TC	$83.18	$138.04	$269.15