Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.05 / $26.05 / $26.51	Facility	26	$26.05	$26.05	$26.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $79.34 / $106.04	Professional		$45.46	$79.34	$106.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.11 / $26.04 / $34.19	Professional	26	$22.11	$26.04	$34.19
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $22.40 / $39.61 / $53.02	Professional	52	$22.40	$39.61	$53.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.10 / $55.88 / $72.78	Professional	TC	$25.10	$55.88	$72.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $238.00 / $238.00	Professional		$145.00	$238.00	$238.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.00 / $115.00 / $115.00	Professional	26	$70.00	$115.00	$115.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.00 / $123.00 / $123.00	Professional	TC	$75.00	$123.00	$123.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $116.15 / $242.83	Professional		$73.34	$116.15	$242.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.25 / $42.19 / $72.13	Professional	26	$26.25	$42.19	$72.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.60 / $79.58 / $170.70	Professional	TC	$43.60	$79.58	$170.70
United Facility/Professional Professional Modifier Low / Median / High Price $88.34 / $155.33 / $299.01	Professional		$88.34	$155.33	$299.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.55 / $56.16 / $98.83	Professional	26	$26.55	$56.16	$98.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.16 / $87.43 / $198.00	Professional	TC	$61.16	$87.43	$198.00