Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.75 / $43.72 / $92.90	Facility	26	$34.75	$43.72	$92.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.12 / $147.08 / $418.73	Professional		$112.12	$147.08	$418.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.71 / $40.43 / $103.02	Professional	26	$32.71	$40.43	$103.02
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $37.81 / $91.50 / $463.25	Professional	52	$37.81	$91.50	$463.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.00 / $99.73 / $182.26	Professional	TC	$81.00	$99.73	$182.26
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $45.58 / $45.58 / $45.58	Facility	26	$45.58	$45.58	$45.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.81 / $151.21 / $259.36	Professional		$113.81	$151.21	$259.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.98 / $44.26 / $72.61	Professional	26	$31.98	$44.26	$72.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.27 / $111.71 / $182.82	Professional	TC	$83.27	$111.71	$182.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.28 / $41.28 / $41.28	Facility	26	$41.28	$41.28	$41.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.87 / $175.75 / $287.01	Professional		$115.87	$175.75	$287.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.46 / $50.19 / $83.36	Professional	26	$32.46	$50.19	$83.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.44 / $129.34 / $211.89	Professional	TC	$85.44	$129.34	$211.89
United Facility/Professional Professional Modifier Low / Median / High Price $127.82 / $166.22 / $277.08	Professional		$127.82	$166.22	$277.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.10 / $46.55 / $77.30	Professional	26	$36.10	$46.55	$77.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.41 / $116.73 / $203.98	Professional	TC	$90.41	$116.73	$203.98