Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.48 / $106.48 / $106.48	Facility		$106.48	$106.48	$106.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $77.30 / $99.62	Professional		$42.00	$77.30	$99.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.75 / $31.64 / $70.01	Professional	26	$26.75	$31.64	$70.01
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $21.00 / $37.79 / $49.81	Professional	52	$21.00	$37.79	$49.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.88 / $35.32 / $67.98	Professional	TC	$15.88	$35.32	$67.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $84.00 / $84.00	Professional		$68.00	$84.00	$84.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.00 / $53.00 / $53.00	Professional	26	$43.00	$53.00	$53.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.00 / $31.00 / $31.00	Professional	TC	$25.00	$31.00	$31.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.72 / $118.27 / $182.39	Professional		$55.72	$118.27	$182.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.97 / $47.50 / $63.92	Professional	26	$27.97	$47.50	$63.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.60 / $77.26 / $118.47	Professional	TC	$21.60	$77.26	$118.47
United Facility/Professional Professional Modifier Low / Median / High Price $98.56 / $126.90 / $274.29	Professional		$98.56	$126.90	$274.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.21 / $59.39 / $104.01	Professional	26	$33.21	$59.39	$104.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.80 / $69.90 / $144.09	Professional	TC	$52.80	$69.90	$144.09