Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $72.44 / $186.21	Facility	26	$51.29	$72.44	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $218.78 / $812.83	Professional		$120.23	$218.78	$812.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $54.95 / $177.83	Professional	26	$45.71	$54.95	$177.83
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $69.18 / $144.54 / $741.31	Professional	52	$69.18	$144.54	$741.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $141.25 / $363.08	Professional	TC	$79.43	$141.25	$363.08
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $53.70 / $53.70	Facility	26	$53.70	$53.70	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $245.47 / $489.78	Professional		$134.90	$245.47	$489.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $72.44 / $125.89	Professional	26	$51.29	$72.44	$125.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $173.78 / $371.54	Professional	TC	$89.13	$173.78	$371.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $66.07 / $162.18	Facility	26	$12.59	$66.07	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $263.03 / $489.78	Professional		$128.82	$263.03	$489.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $72.44 / $147.91	Professional	26	$40.74	$72.44	$147.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $169.82 / $346.74	Professional	TC	$83.18	$169.82	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $389.05	Professional		$138.04	$218.78	$389.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $60.26 / $117.49	Professional	26	$44.67	$60.26	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $144.54 / $288.40	Professional	TC	$87.10	$144.54	$288.40