Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.41 / $142.41 / $146.93	Facility		$142.41	$142.41	$146.93
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.17 / $77.17 / $78.27	Facility	26	$77.17	$77.17	$78.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.82 / $183.92 / $266.37	Professional		$116.82	$183.92	$266.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.86 / $65.48 / $90.58	Professional	26	$48.86	$65.48	$90.58
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $58.41 / $63.07 / $133.19	Professional	52	$58.41	$63.07	$133.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.34 / $93.34 / $211.98	Professional	TC	$51.34	$93.34	$211.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.00 / $631.00 / $631.00	Professional		$385.00	$631.00	$631.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $208.00 / $341.00 / $341.00	Professional	26	$208.00	$341.00	$341.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $177.00 / $290.00 / $290.00	Professional	TC	$177.00	$290.00	$290.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.26 / $285.20 / $492.57	Professional		$211.26	$285.20	$492.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.97 / $93.76 / $193.81	Professional	26	$61.97	$93.76	$193.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $109.97 / $177.66 / $299.77	Professional	TC	$109.97	$177.66	$299.77
United Facility/Professional Professional Modifier Low / Median / High Price $234.10 / $322.48 / $739.21	Professional		$234.10	$322.48	$739.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.40 / $154.35 / $190.10	Professional	26	$56.40	$154.35	$190.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $122.07 / $151.83 / $563.20	Professional	TC	$122.07	$151.83	$563.20