Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $37.15 / $91.20	Facility	26	$23.99	$37.15	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $89.13 / $346.74	Professional		$48.98	$89.13	$346.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $38.90 / $109.65	Professional	26	$22.91	$38.90	$109.65
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $43.65 / $79.43 / $354.81	Professional	52	$43.65	$79.43	$354.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $47.86 / $114.82	Professional	TC	$25.12	$47.86	$114.82
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $28.84 / $28.84	Facility	26	$28.84	$28.84	$28.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $158.49	Professional		$57.54	$87.10	$158.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $34.67 / $58.88	Professional	26	$26.30	$34.67	$58.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $53.70 / $104.71	Professional	TC	$33.11	$53.70	$104.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.61 / $35.48 / $85.11	Facility	26	$6.61	$35.48	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $97.72 / $177.83	Professional		$54.95	$97.72	$177.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $36.31 / $70.79	Professional	26	$21.88	$36.31	$70.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $60.26 / $112.20	Professional	TC	$28.84	$60.26	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $151.36	Professional		$63.10	$87.10	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $29.51 / $56.23	Professional	26	$22.39	$29.51	$56.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $56.23 / $97.72	Professional	TC	$38.90	$56.23	$97.72