Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $232.70 / $232.70 / $232.70	Facility	26	$232.70	$232.70	$232.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.05 / $135.65 / $545.00	Professional		$110.05	$135.65	$545.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.77 / $36.20 / $55.22	Professional	26	$27.77	$36.20	$55.22
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $18.75 / $61.63 / $463.25	Professional	52	$18.75	$61.63	$463.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $82.29 / $99.31 / $112.69	Professional	TC	$82.29	$99.31	$112.69
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $70.02 / $74.61 / $82.90	Facility	26	$70.02	$74.61	$82.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.65 / $186.67 / $277.44	Professional		$154.65	$186.67	$277.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.25 / $51.78 / $74.31	Professional	26	$36.25	$51.78	$74.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $94.42 / $134.88 / $203.11	Professional	TC	$94.42	$134.88	$203.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.87 / $193.86 / $284.29	Professional		$115.87	$193.86	$284.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.53 / $53.36 / $77.87	Professional	26	$31.53	$53.36	$77.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.44 / $140.50 / $208.13	Professional	TC	$85.44	$140.50	$208.13
United Facility/Professional Professional Modifier Low / Median / High Price $139.29 / $174.38 / $297.16	Professional		$139.29	$174.38	$297.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.78 / $48.56 / $76.62	Professional	26	$35.78	$48.56	$76.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $104.85 / $126.68 / $206.88	Professional	TC	$104.85	$126.68	$206.88