Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $42.66 / $112.20	Facility	26	$28.84	$42.66	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $199.53 / $478.63	Professional		$102.33	$199.53	$478.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $57.54 / $141.25	Professional	26	$29.51	$57.54	$141.25
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $56.23 / $112.20 / $338.84	Professional	52	$56.23	$112.20	$338.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $102.33 / $281.84	Professional	TC	$70.79	$102.33	$281.84
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $37.15 / $37.15	Facility	26	$37.15	$37.15	$37.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $229.09	Professional		$91.20	$131.83	$229.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $41.69 / $72.44	Professional	26	$31.62	$41.69	$72.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $91.20 / $162.18	Professional	TC	$58.88	$91.20	$162.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $42.66 / $104.71	Facility	26	$7.94	$42.66	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $309.03	Professional		$95.50	$154.88	$309.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $45.71 / $89.13	Professional	26	$27.54	$45.71	$89.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $109.65 / $229.09	Professional	TC	$66.07	$109.65	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $239.88	Professional		$91.20	$125.89	$239.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $36.31 / $67.61	Professional	26	$27.54	$36.31	$67.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $89.13 / $169.82	Professional	TC	$63.10	$89.13	$169.82