Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $181.53 / $181.53 / $181.53	Facility	26	$181.53	$181.53	$181.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.96 / $53.01 / $126.71	Professional		$42.96	$53.01	$126.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.14 / $28.05 / $65.23	Professional	26	$22.14	$28.05	$65.23
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.90 / $125.38 / $250.75	Professional	52	$14.90	$125.38	$250.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.82 / $23.57 / $29.02	Professional	TC	$20.82	$23.57	$29.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.63 / $75.84 / $109.37	Professional		$62.63	$75.84	$109.37
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.53 / $40.76 / $58.70	Professional	26	$28.53	$40.76	$58.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.56 / $35.09 / $35.09	Professional	TC	$24.56	$35.09	$35.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.08 / $78.52 / $113.47	Professional		$47.08	$78.52	$113.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.76 / $42.87 / $60.75	Professional	26	$24.76	$42.87	$60.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.21 / $35.64 / $52.81	Professional	TC	$22.21	$35.64	$52.81
United Facility/Professional Professional Modifier Low / Median / High Price $56.80 / $69.68 / $139.47	Professional		$56.80	$69.68	$139.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.41 / $37.88 / $60.14	Professional	26	$28.41	$37.88	$60.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.18 / $31.80 / $57.38	Professional	TC	$25.18	$31.80	$57.38