Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.21 / $113.63 / $214.96	Facility	26	$84.21	$113.63	$214.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.72 / $471.00 / $922.02	Professional		$206.72	$471.00	$922.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.81 / $140.00 / $246.84	Professional	26	$70.81	$140.00	$246.84
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $99.49 / $187.50 / $294.62	Professional	52	$99.49	$187.50	$294.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.72 / $294.39 / $437.57	Professional	TC	$128.72	$294.39	$437.57
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $78.94 / $78.94 / $78.94	Facility	26	$78.94	$78.94	$78.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.23 / $308.77 / $680.98	Professional		$201.23	$308.77	$680.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.00 / $95.40 / $162.65	Professional	26	$70.00	$95.40	$162.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.77 / $187.85 / $532.64	Professional	TC	$128.77	$187.85	$532.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.26 / $80.26 / $80.26	Facility	26	$80.26	$80.26	$80.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.21 / $413.18 / $788.72	Professional		$195.21	$413.18	$788.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.41 / $103.04 / $180.00	Professional	26	$63.41	$103.04	$180.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.44 / $277.39 / $624.91	Professional	TC	$128.44	$277.39	$624.91
United Facility/Professional Professional Modifier Low / Median / High Price $198.46 / $352.82 / $647.41	Professional		$198.46	$352.82	$647.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.67 / $87.23 / $159.69	Professional	26	$66.67	$87.23	$159.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $129.91 / $220.60 / $498.28	Professional	TC	$129.91	$220.60	$498.28