Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $67.61 / $67.61	Facility	26	$67.61	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $478.63 / $1,258.93	Professional		$194.98	$478.63	$1,258.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $128.82 / $199.53	Professional	26	$66.07	$128.82	$199.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $199.53 / $199.53 / $199.53	Professional	52	$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $302.00 / $371.54	Professional	TC	$123.03	$302.00	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $776.25 / $1,479.11	Professional		$501.19	$776.25	$1,479.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $177.83 / $275.42 / $524.81	Professional	26	$177.83	$275.42	$524.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $489.78 / $933.25	Professional	TC	$316.23	$489.78	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $489.78 / $1,047.13	Professional		$288.40	$489.78	$1,047.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $147.91 / $302.00	Professional	26	$87.10	$147.91	$302.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $338.84 / $831.76	Professional	TC	$194.98	$338.84	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $1,380.38	Professional		$354.81	$457.09	$1,380.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $134.90 / $257.04	Professional	26	$67.61	$134.90	$257.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $309.03 / $1,148.15	Professional	TC	$234.42	$309.03	$1,148.15