Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $260.52 / $260.52 / $362.48	Facility	26	$260.52	$260.52	$362.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.31 / $266.81 / $580.65	Professional		$110.31	$266.81	$580.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.57 / $52.16 / $122.45	Professional	26	$31.57	$52.16	$122.45
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $55.16 / $85.50 / $137.21	Professional	52	$55.16	$85.50	$137.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $78.75 / $201.04 / $217.98	Professional	TC	$78.75	$201.04	$217.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.69 / $189.05 / $456.66	Professional		$160.69	$189.05	$456.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.63 / $58.04 / $106.52	Professional	26	$40.63	$58.04	$106.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.69 / $130.99 / $130.99	Professional	TC	$91.69	$130.99	$130.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.84 / $271.11 / $331.34	Professional		$130.84	$271.11	$331.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.03 / $81.70 / $87.18	Professional	26	$42.03	$81.70	$87.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.92 / $189.40 / $223.96	Professional	TC	$89.92	$189.40	$223.96
United Facility/Professional Professional Modifier Low / Median / High Price $141.47 / $209.64 / $304.20	Professional		$141.47	$209.64	$304.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.04 / $54.37 / $86.06	Professional	26	$43.04	$54.37	$86.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $71.54 / $143.22 / $212.39	Professional	TC	$71.54	$143.22	$212.39