Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $47.86 / $125.89	Facility	26	$33.88	$47.86	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $141.25 / $489.78	Professional		$54.95	$141.25	$489.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $52.48 / $123.03	Professional	26	$33.11	$52.48	$123.03
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $95.50 / $109.65 / $602.56	Professional	52	$95.50	$109.65	$602.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $97.72 / $251.19	Professional	TC	$72.44	$97.72	$251.19
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $47.86 / $47.86	Facility	26	$47.86	$47.86	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $275.42	Professional		$102.33	$147.91	$275.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $45.71 / $81.28	Professional	26	$30.20	$45.71	$81.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $104.71 / $194.98	Professional	TC	$67.61	$104.71	$194.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $50.12 / $123.03	Facility	26	$9.33	$50.12	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $173.78 / $338.84	Professional		$102.33	$173.78	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $52.48 / $102.33	Professional	26	$30.90	$52.48	$102.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $123.03 / $245.47	Professional	TC	$72.44	$123.03	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $269.15	Professional		$109.65	$151.36	$269.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $45.71 / $81.28	Professional	26	$33.11	$45.71	$81.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $104.71 / $186.21	Professional	TC	$75.86	$104.71	$186.21