Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $46.77 / $144.54	Facility	26	$32.36	$46.77	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $186.21 / $537.03	Professional		$107.15	$186.21	$537.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $52.48 / $134.90	Professional	26	$32.36	$52.48	$134.90
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $24.55 / $72.44 / $478.63	Professional	52	$24.55	$72.44	$478.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $104.71 / $269.15	Professional	TC	$79.43	$104.71	$269.15
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $45.71 / $45.71	Facility	26	$45.71	$45.71	$45.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $281.84	Professional		$102.33	$154.88	$281.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $42.66 / $77.62	Professional	26	$28.18	$42.66	$77.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $112.20 / $204.17	Professional	TC	$77.62	$112.20	$204.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $46.77 / $114.82	Facility	26	$8.91	$46.77	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $346.74	Professional		$104.71	$177.83	$346.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $50.12 / $97.72	Professional	26	$29.51	$50.12	$97.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $131.83 / $257.04	Professional	TC	$77.62	$131.83	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $275.42	Professional		$112.20	$154.88	$275.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $43.65 / $75.86	Professional	26	$30.90	$43.65	$75.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $109.65 / $199.53	Professional	TC	$79.43	$109.65	$199.53