Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.91 / $48.91 / $49.83	Facility	26	$48.91	$48.91	$49.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.23 / $176.19 / $280.77	Professional		$126.23	$176.19	$280.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.97 / $51.42 / $219.26	Professional	26	$47.97	$51.42	$219.26
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $63.12 / $88.10 / $140.38	Professional	52	$63.12	$88.10	$140.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $78.25 / $112.89 / $231.46	Professional	TC	$78.25	$112.89	$231.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.00 / $580.00 / $580.00	Professional		$353.00	$580.00	$580.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $131.00 / $215.00 / $215.00	Professional	26	$131.00	$215.00	$215.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $222.00 / $365.00 / $365.00	Professional	TC	$222.00	$365.00	$365.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.86 / $296.04 / $561.03	Professional		$216.86	$296.04	$561.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.17 / $95.53 / $146.26	Professional	26	$63.17	$95.53	$146.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $136.74 / $219.08 / $380.36	Professional	TC	$136.74	$219.08	$380.36
United Facility/Professional Professional Modifier Low / Median / High Price $214.00 / $309.95 / $768.90	Professional		$214.00	$309.95	$768.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.32 / $101.69 / $177.57	Professional	26	$43.32	$101.69	$177.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $157.36 / $195.72 / $589.60	Professional	TC	$157.36	$195.72	$589.60