Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.94 / $38.94 / $39.68	Facility	26	$38.94	$38.94	$39.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.26 / $168.72 / $286.26	Professional		$121.26	$168.72	$286.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.86 / $54.33 / $138.80	Professional	26	$37.86	$54.33	$138.80
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $60.63 / $84.36 / $143.13	Professional	52	$60.63	$84.36	$143.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.39 / $120.11 / $231.46	Professional	TC	$83.39	$120.11	$231.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.00 / $559.00 / $559.00	Professional		$340.00	$559.00	$559.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $103.00 / $170.00 / $170.00	Professional	26	$103.00	$170.00	$170.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $237.00 / $389.00 / $389.00	Professional	TC	$237.00	$389.00	$389.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.71 / $276.60 / $494.09	Professional		$182.71	$276.60	$494.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.65 / $84.97 / $149.55	Professional	26	$56.65	$84.97	$149.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $126.07 / $194.72 / $340.87	Professional	TC	$126.07	$194.72	$340.87
United Facility/Professional Professional Modifier Low / Median / High Price $213.23 / $273.04 / $768.90	Professional		$213.23	$273.04	$768.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.23 / $84.98 / $174.91	Professional	26	$48.23	$84.98	$174.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.19 / $188.06 / $668.81	Professional	TC	$151.19	$188.06	$668.81