Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $175.09 / $175.09 / $175.09	Facility	26	$175.09	$175.09	$175.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $87.97 / $116.14	Professional		$69.92	$87.97	$116.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.28 / $26.40 / $97.65	Professional	26	$20.28	$26.40	$97.65
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $32.72 / $43.99 / $44.08	Professional	52	$32.72	$43.99	$44.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.54 / $61.57 / $63.28	Professional	TC	$40.54	$61.57	$63.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.58 / $72.45 / $176.82	Professional		$61.58	$72.45	$176.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.42 / $33.46 / $51.34	Professional	26	$23.42	$33.46	$51.34
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.29 / $38.99 / $38.99	Professional	TC	$27.29	$38.99	$38.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $92.84 / $161.24	Professional		$68.98	$92.84	$161.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.66 / $38.28 / $58.58	Professional	26	$24.66	$38.28	$58.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.60 / $58.96 / $102.66	Professional	TC	$43.60	$58.96	$102.66
United Facility/Professional Professional Modifier Low / Median / High Price $68.62 / $83.81 / $134.10	Professional		$68.62	$83.81	$134.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.84 / $31.51 / $51.76	Professional	26	$24.84	$31.51	$51.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.78 / $61.07 / $86.71	Professional	TC	$43.78	$61.07	$86.71