Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.25 / $67.25 / $68.52	Facility	26	$67.25	$67.25	$68.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.59 / $314.58 / $475.00	Professional		$197.59	$314.58	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.44 / $116.64 / $167.30	Professional	26	$69.44	$116.64	$167.30
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $98.80 / $157.30 / $237.50	Professional	52	$98.80	$157.30	$237.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $126.37 / $197.95 / $335.00	Professional	TC	$126.37	$197.95	$335.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $507.00 / $834.00 / $1,539.00	Professional		$507.00	$834.00	$1,539.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $179.00 / $295.00 / $544.00	Professional	26	$179.00	$295.00	$544.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $328.00 / $539.00 / $995.00	Professional	TC	$328.00	$539.00	$995.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.32 / $462.24 / $1,000.00	Professional		$291.32	$462.24	$1,000.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.24 / $131.88 / $265.11	Professional	26	$87.24	$131.88	$265.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $193.00 / $319.92 / $720.50	Professional	TC	$193.00	$319.92	$720.50
United Facility/Professional Professional Modifier Low / Median / High Price $342.16 / $425.58 / $1,389.29	Professional		$342.16	$425.58	$1,389.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.15 / $133.74 / $249.36	Professional	26	$68.15	$133.74	$249.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $224.00 / $302.62 / $1,142.86	Professional	TC	$224.00	$302.62	$1,142.86