Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.25 / $72.06 / $114.89	Facility	26	$52.25	$72.06	$114.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.88 / $221.75 / $410.81	Professional		$133.88	$221.75	$410.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.76 / $55.49 / $171.84	Professional	26	$45.76	$55.49	$171.84
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $66.72 / $84.39 / $140.38	Professional	52	$66.72	$84.39	$140.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.12 / $171.09 / $291.63	Professional	TC	$84.12	$171.09	$291.63
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $54.31 / $54.31 / $54.31	Facility	26	$54.31	$54.31	$54.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.94 / $217.08 / $453.38	Professional		$143.94	$217.08	$453.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.79 / $69.70 / $117.40	Professional	26	$49.79	$69.70	$117.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.04 / $148.67 / $327.12	Professional	TC	$89.04	$148.67	$327.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.64 / $58.64 / $58.64	Facility	26	$58.64	$58.64	$58.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.04 / $277.02 / $448.09	Professional		$137.04	$277.02	$448.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.79 / $73.05 / $127.24	Professional	26	$44.79	$73.05	$127.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $88.47 / $187.13 / $340.00	Professional	TC	$88.47	$187.13	$340.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.05 / $226.81 / $383.89	Professional		$141.05	$226.81	$383.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.58 / $67.23 / $118.39	Professional	26	$48.58	$67.23	$118.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $89.52 / $156.96 / $278.76	Professional	TC	$89.52	$156.96	$278.76