Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $75.86 / $75.86	Facility	26	$74.13	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $223.87 / $288.40	Professional		$114.82	$223.87	$288.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $67.61 / $89.13	Professional	26	$33.88	$67.61	$89.13
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $31.62 / $35.48 / $100.00	Professional	52	$31.62	$35.48	$100.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $151.36 / $204.17	Professional	TC	$83.18	$151.36	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $512.86	Professional		$331.13	$512.86	$512.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $144.54 / $144.54	Professional	26	$93.33	$144.54	$144.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $363.08 / $363.08	Professional	TC	$234.42	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $389.05	Professional		$134.90	$204.17	$389.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $61.66 / $107.15	Professional	26	$39.81	$61.66	$107.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $147.91 / $281.84	Professional	TC	$95.50	$147.91	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $245.47 / $426.58	Professional		$144.54	$245.47	$426.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $69.18 / $114.82	Professional	26	$38.90	$69.18	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $173.78 / $309.03	Professional	TC	$104.71	$173.78	$309.03