Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $100.00 / $190.55	Facility	26	$79.43	$100.00	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $204.17	Professional		$87.10	$109.65	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $79.43 / $117.49	Professional	26	$67.61	$79.43	$117.49
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $51.29 / $117.49 / $288.40	Professional	52	$51.29	$117.49	$288.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.20 / $41.69	Professional	TC	$19.05	$30.20	$41.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $234.42	Professional		$79.43	$114.82	$234.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $91.20 / $194.98	Professional	26	$63.10	$91.20	$194.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $28.18 / $63.10	Professional	TC	$16.22	$28.18	$63.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $97.72 / $199.53	Facility	26	$18.62	$97.72	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $281.84	Professional		$87.10	$125.89	$281.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $97.72 / $208.93	Professional	26	$66.07	$97.72	$208.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $32.36 / $79.43	Professional	TC	$19.05	$32.36	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $186.21	Professional		$77.62	$104.71	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $79.43 / $141.25	Professional	26	$60.26	$79.43	$141.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $24.55 / $46.77	Professional	TC	$16.60	$24.55	$46.77