Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.48 / $61.48 / $62.65	Facility	26	$61.48	$61.48	$62.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.24 / $269.99 / $475.00	Professional		$149.24	$269.99	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.42 / $150.57 / $329.04	Professional	26	$65.42	$150.57	$329.04
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $104.35 / $165.76 / $237.50	Professional	52	$104.35	$165.76	$237.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $143.27 / $224.42 / $335.00	Professional	TC	$143.27	$224.42	$335.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $887.00 / $1,638.00	Professional		$540.00	$887.00	$1,638.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $165.00 / $271.00 / $500.00	Professional	26	$165.00	$271.00	$500.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $375.00 / $616.00 / $1,138.00	Professional	TC	$375.00	$616.00	$1,138.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.58 / $477.46 / $826.35	Professional		$307.58	$477.46	$826.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.68 / $111.37 / $244.90	Professional	26	$73.68	$111.37	$244.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $216.70 / $360.79 / $700.00	Professional	TC	$216.70	$360.79	$700.00
United Facility/Professional Professional Modifier Low / Median / High Price $362.32 / $450.65 / $1,439.91	Professional		$362.32	$450.65	$1,439.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.34 / $123.58 / $222.19	Professional	26	$58.34	$123.58	$222.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $253.13 / $334.42 / $1,230.91	Professional	TC	$253.13	$334.42	$1,230.91