Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $209.36 / $209.36 / $209.36	Facility	26	$209.36	$209.36	$209.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.34 / $210.20 / $507.49	Professional		$113.34	$210.20	$507.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.90 / $33.33 / $171.72	Professional	26	$25.90	$33.33	$171.72
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $48.69 / $62.68 / $260.25	Professional	52	$48.69	$62.68	$260.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.47 / $92.02 / $159.88	Professional	TC	$71.47	$92.02	$159.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.40 / $147.53 / $151.03	Professional		$125.40	$147.53	$151.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.39 / $40.54 / $65.09	Professional	26	$28.39	$40.54	$65.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.89 / $106.98 / $106.98	Professional	TC	$74.89	$106.98	$106.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.44 / $169.29 / $251.39	Professional		$106.44	$169.29	$251.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.78 / $47.90 / $70.06	Professional	26	$31.78	$47.90	$70.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $78.64 / $126.83 / $181.33	Professional	TC	$78.64	$126.83	$181.33
United Facility/Professional Professional Modifier Low / Median / High Price $94.83 / $136.44 / $227.83	Professional		$94.83	$136.44	$227.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.35 / $43.69 / $62.56	Professional	26	$30.35	$43.69	$62.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.42 / $113.10 / $164.94	Professional	TC	$60.42	$113.10	$164.94