Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $188.66 / $188.66 / $188.66	Facility	26	$188.66	$188.66	$188.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.03 / $77.64 / $111.48	Professional		$67.03	$77.64	$111.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.51 / $28.10 / $29.53	Professional	26	$23.51	$28.10	$29.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $33.52 / $38.82 / $38.86	Professional	52	$33.52	$38.82	$38.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.53 / $48.24 / $49.54	Professional	TC	$43.53	$48.24	$49.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $85.24 / $172.16	Professional		$72.45	$85.24	$172.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.20 / $37.43 / $61.42	Professional	26	$26.20	$37.43	$61.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.47 / $47.81 / $47.81	Professional	TC	$33.47	$47.81	$47.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.42 / $100.05 / $135.91	Professional		$74.42	$100.05	$135.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.16 / $44.07 / $63.12	Professional	26	$29.16	$44.07	$63.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.88 / $60.63 / $93.09	Professional	TC	$41.88	$60.63	$93.09
United Facility/Professional Professional Modifier Low / Median / High Price $61.39 / $84.42 / $129.22	Professional		$61.39	$84.42	$129.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.41 / $38.11 / $57.29	Professional	26	$24.41	$38.11	$57.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.22 / $45.40 / $81.59	Professional	TC	$28.22	$45.40	$81.59