Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.65 / $39.37 / $69.09	Facility	26	$31.65	$39.37	$69.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.41 / $153.28 / $396.00	Professional		$107.41	$153.28	$396.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.75 / $45.47 / $124.15	Professional	26	$29.75	$45.47	$124.15
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $48.69 / $61.22 / $174.57	Professional	52	$48.69	$61.22	$174.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.31 / $95.11 / $216.12	Professional	TC	$75.31	$95.11	$216.12
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $36.81 / $36.81 / $36.81	Facility	26	$36.81	$36.81	$36.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.63 / $135.13 / $222.07	Professional		$110.63	$135.13	$222.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.59 / $39.77 / $64.35	Professional	26	$31.59	$39.77	$64.35
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $78.45 / $94.87 / $160.84	Professional	TC	$78.45	$94.87	$160.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.42 / $37.42 / $37.42	Facility	26	$37.42	$37.42	$37.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.71 / $151.59 / $269.74	Professional		$99.71	$151.59	$269.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.12 / $45.51 / $76.48	Professional	26	$30.12	$45.51	$76.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.37 / $107.48 / $194.24	Professional	TC	$67.37	$107.48	$194.24
United Facility/Professional Professional Modifier Low / Median / High Price $100.18 / $131.16 / $248.36	Professional		$100.18	$131.16	$248.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.83 / $38.75 / $67.20	Professional	26	$31.83	$38.75	$67.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.12 / $92.05 / $168.68	Professional	TC	$72.12	$92.05	$168.68