Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.80 / $118.72 / $234.07	Facility	26	$80.80	$118.72	$234.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.52 / $475.00 / $922.02	Professional		$210.52	$475.00	$922.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.68 / $127.50 / $271.00	Professional	26	$69.68	$127.50	$271.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $99.20 / $174.86 / $297.61	Professional	52	$99.20	$174.86	$297.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $129.40 / $299.00 / $477.24	Professional	TC	$129.40	$299.00	$477.24
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $79.31 / $79.31 / $79.31	Facility	26	$79.31	$79.31	$79.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.54 / $309.14 / $664.00	Professional		$201.54	$309.14	$664.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $68.39 / $95.14 / $151.73	Professional	26	$68.39	$95.14	$151.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $129.10 / $187.60 / $535.28	Professional	TC	$129.10	$187.60	$535.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.59 / $80.59 / $80.59	Facility	26	$80.59	$80.59	$80.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.88 / $413.86 / $799.40	Professional		$195.88	$413.86	$799.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.67 / $100.39 / $174.14	Professional	26	$62.67	$100.39	$174.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $127.20 / $280.30 / $655.67	Professional	TC	$127.20	$280.30	$655.67
United Facility/Professional Professional Modifier Low / Median / High Price $192.16 / $350.47 / $675.69	Professional		$192.16	$350.47	$675.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.73 / $86.29 / $160.47	Professional	26	$64.73	$86.29	$160.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.85 / $218.73 / $502.42	Professional	TC	$125.85	$218.73	$502.42