Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.62 / $53.30 / $92.74	Facility	26	$45.62	$53.30	$92.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.03 / $174.44 / $473.50	Professional		$138.03	$174.44	$473.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.47 / $49.30 / $120.97	Professional	26	$41.47	$49.30	$120.97
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $240.30 / $240.30 / $240.30	Professional	52	$240.30	$240.30	$240.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.58 / $120.78 / $210.32	Professional	TC	$96.58	$120.78	$210.32
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $60.14 / $60.14 / $60.14	Facility	26	$60.14	$60.14	$60.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.84 / $184.93 / $321.66	Professional		$142.84	$184.93	$321.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.29 / $58.20 / $94.62	Professional	26	$41.29	$58.20	$94.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $99.83 / $134.66 / $224.63	Professional	TC	$99.83	$134.66	$224.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.02 / $54.02 / $54.02	Facility	26	$54.02	$54.02	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.13 / $217.75 / $353.91	Professional		$143.13	$217.75	$353.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.48 / $65.81 / $109.50	Professional	26	$42.48	$65.81	$109.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $103.32 / $156.60 / $256.58	Professional	TC	$103.32	$156.60	$256.58
United Facility/Professional Professional Modifier Low / Median / High Price $158.55 / $200.87 / $355.38	Professional		$158.55	$200.87	$355.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.15 / $59.81 / $100.24	Professional	26	$47.15	$59.81	$100.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $111.25 / $141.36 / $233.32	Professional	TC	$111.25	$141.36	$233.32