Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $58.88 / $151.36	Facility	26	$41.69	$58.88	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $676.08	Professional		$131.83	$199.53	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $60.26 / $141.25	Professional	26	$40.74	$60.26	$141.25
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.20 / $30.20 / $30.20	Professional	52	$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $125.89 / $323.59	Professional	TC	$93.33	$125.89	$323.59
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $60.26 / $60.26	Facility	26	$60.26	$60.26	$60.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $346.74	Professional		$128.82	$186.21	$346.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $56.23 / $100.00	Professional	26	$37.15	$56.23	$100.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $131.83 / $245.47	Professional	TC	$89.13	$131.83	$245.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $61.66 / $151.36	Facility	26	$11.48	$61.66	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $223.87 / $436.52	Professional		$128.82	$223.87	$436.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $66.07 / $125.89	Professional	26	$38.90	$66.07	$125.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $158.49 / $309.03	Professional	TC	$93.33	$158.49	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $338.84	Professional		$138.04	$190.55	$338.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $56.23 / $100.00	Professional	26	$40.74	$56.23	$100.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $134.90 / $239.88	Professional	TC	$95.50	$134.90	$239.88