Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $245.47 / $245.47 / $245.47	Facility	26	$245.47	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $218.78 / $562.34	Professional		$95.50	$218.78	$562.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $53.70 / $169.82	Professional	26	$46.77	$53.70	$169.82
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $69.18 / $85.11 / $85.11	Professional	52	$69.18	$85.11	$85.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $141.25 / $346.74	Professional	TC	$51.29	$141.25	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $363.08	Professional		$147.91	$194.98	$363.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $66.07 / $100.00	Professional	26	$51.29	$66.07	$100.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $104.71 / $144.54	Professional	TC	$87.10	$104.71	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $281.84 / $426.58	Professional		$144.54	$281.84	$426.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $91.20 / $120.23	Professional	26	$42.66	$91.20	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $186.21 / $331.13	Professional	TC	$97.72	$186.21	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $331.13	Professional		$158.49	$234.42	$331.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $63.10 / $107.15	Professional	26	$50.12	$63.10	$107.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $144.54 / $234.42	Professional	TC	$95.50	$144.54	$234.42