Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.92 / $44.77 / $74.61	Facility	26	$36.92	$44.77	$74.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.59 / $133.54 / $375.60	Professional		$96.59	$133.54	$375.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.61 / $41.38 / $93.15	Professional	26	$33.61	$41.38	$93.15
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $112.31 / $119.05 / $153.72	Professional	52	$112.31	$119.05	$153.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.76 / $94.39 / $164.93	Professional	TC	$75.76	$94.39	$164.93
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $48.41 / $48.41 / $48.41	Facility	26	$48.41	$48.41	$48.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.73 / $146.48 / $254.64	Professional		$112.73	$146.48	$254.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.47 / $46.84 / $76.59	Professional	26	$33.47	$46.84	$76.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $78.92 / $105.45 / $175.58	Professional	TC	$78.92	$105.45	$175.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.97 / $43.97 / $43.97	Facility	26	$43.97	$43.97	$43.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.37 / $171.72 / $280.89	Professional		$113.37	$171.72	$280.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.60 / $53.34 / $88.12	Professional	26	$34.60	$53.34	$88.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $81.11 / $122.41 / $200.53	Professional	TC	$81.11	$122.41	$200.53
United Facility/Professional Professional Modifier Low / Median / High Price $123.55 / $161.38 / $262.20	Professional		$123.55	$161.38	$262.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.79 / $50.28 / $87.90	Professional	26	$39.79	$50.28	$87.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.95 / $110.48 / $183.48	Professional	TC	$85.95	$110.48	$183.48