Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $144.54 / $407.38	Facility	26	$89.13	$144.54	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $446.68 / $977.24	Professional		$275.42	$446.68	$977.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $141.25 / $295.12	Professional	26	$83.18	$141.25	$295.12
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $158.49 / $407.38 / $812.83	Professional	52	$158.49	$407.38	$812.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $309.03 / $588.84	Professional	TC	$190.55	$309.03	$588.84
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $95.50 / $95.50	Facility	26	$95.50	$95.50	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $446.68 / $977.24	Professional		$275.42	$446.68	$977.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $112.20 / $204.17	Professional	26	$83.18	$112.20	$204.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $331.13 / $794.33	Professional	TC	$204.17	$331.13	$794.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $109.65 / $269.15	Facility	26	$20.42	$109.65	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $537.03 / $1,023.29	Professional		$263.03	$537.03	$1,023.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $120.23 / $239.88	Professional	26	$67.61	$120.23	$239.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $380.19 / $794.33	Professional	TC	$186.21	$380.19	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $436.52 / $831.76	Professional		$269.15	$436.52	$831.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $95.50 / $186.21	Professional	26	$72.44	$95.50	$186.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $309.03 / $660.69	Professional	TC	$190.55	$309.03	$660.69