Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $350.35 / $350.35 / $487.44	Facility	26	$350.35	$350.35	$487.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.46 / $247.94 / $268.31	Professional		$135.46	$247.94	$268.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.79 / $53.10 / $184.50	Professional	26	$37.79	$53.10	$184.50
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $67.73 / $85.50 / $134.16	Professional	52	$67.73	$85.50	$134.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.67 / $177.61 / $214.02	Professional	TC	$97.67	$177.61	$214.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.69 / $196.11 / $420.71	Professional		$166.69	$196.11	$420.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.04 / $72.92 / $94.72	Professional	26	$51.04	$72.92	$94.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $86.25 / $123.21 / $134.03	Professional	TC	$86.25	$123.21	$134.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.04 / $281.02 / $392.40	Professional		$145.04	$281.02	$392.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.79 / $97.52 / $117.24	Professional	26	$44.79	$97.52	$117.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.59 / $178.74 / $270.61	Professional	TC	$97.59	$178.74	$270.61
United Facility/Professional Professional Modifier Low / Median / High Price $165.89 / $250.61 / $335.74	Professional		$165.89	$250.61	$335.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.89 / $68.09 / $108.78	Professional	26	$51.89	$68.09	$108.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $101.04 / $170.17 / $258.08	Professional	TC	$101.04	$170.17	$258.08