Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.89 / $84.89 / $99.03	Facility	26	$84.89	$84.89	$99.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.61 / $108.56 / $150.36	Professional		$88.61	$108.56	$150.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.81 / $78.58 / $108.67	Professional	26	$69.81	$78.58	$108.67
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $116.50 / $116.50 / $291.14	Professional	52	$116.50	$116.50	$291.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.69 / $29.96 / $38.85	Professional	TC	$19.69	$29.96	$38.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.22 / $113.16 / $182.53	Professional		$87.22	$113.16	$182.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.11 / $83.68 / $140.49	Professional	26	$66.11	$83.68	$140.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.54 / $28.14 / $51.81	Professional	TC	$18.54	$28.14	$51.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.92 / $86.92 / $86.92	Facility	26	$86.92	$86.92	$86.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.83 / $122.96 / $209.99	Professional		$86.83	$122.96	$209.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.50 / $94.40 / $161.81	Professional	26	$66.50	$94.40	$161.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.39 / $30.04 / $54.05	Professional	TC	$19.39	$30.04	$54.05
United Facility/Professional Professional Modifier Low / Median / High Price $82.99 / $104.18 / $186.51	Professional		$82.99	$104.18	$186.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.12 / $82.46 / $140.41	Professional	26	$66.12	$82.46	$140.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.71 / $27.30 / $47.93	Professional	TC	$17.71	$27.30	$47.93