Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.57 / $126.74 / $211.43	Facility	26	$98.57	$126.74	$211.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.87 / $472.17 / $661.50	Professional		$284.87	$472.17	$661.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.16 / $139.55 / $201.45	Professional	26	$85.16	$139.55	$201.45
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $138.85 / $212.50 / $300.00	Professional	52	$138.85	$212.50	$300.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $193.96 / $327.78 / $462.42	Professional	TC	$193.96	$327.78	$462.42
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $94.73 / $94.73 / $94.73	Facility	26	$94.73	$94.73	$94.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.91 / $387.36 / $816.56	Professional		$284.91	$387.36	$816.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.31 / $113.35 / $181.89	Professional	26	$82.31	$113.35	$181.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $197.20 / $289.32 / $642.80	Professional	TC	$197.20	$289.32	$642.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.46 / $96.46 / $96.46	Facility	26	$96.46	$96.46	$96.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.99 / $571.08 / $957.73	Professional		$276.99	$571.08	$957.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.28 / $121.25 / $205.00	Professional	26	$75.28	$121.25	$205.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $193.30 / $406.88 / $772.00	Professional	TC	$193.30	$406.88	$772.00
United Facility/Professional Professional Modifier Low / Median / High Price $280.60 / $470.43 / $856.34	Professional		$280.60	$470.43	$856.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $103.63 / $182.62	Professional	26	$77.62	$103.63	$182.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.06 / $338.80 / $653.12	Professional	TC	$190.06	$338.80	$653.12