Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.70 / $76.70 / $76.70	Facility	26	$76.70	$76.70	$76.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.01 / $115.57 / $210.59	Professional		$86.01	$115.57	$210.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $14.00 / $61.51	Professional	26	$11.50	$14.00	$61.51
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $46.49 / $57.79 / $292.64	Professional	52	$46.49	$57.79	$292.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.41 / $104.07 / $126.20	Professional	TC	$81.41	$104.07	$126.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.04 / $102.40 / $166.18	Professional		$87.04	$102.40	$166.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.03 / $14.34 / $22.21	Professional	26	$10.03	$14.34	$22.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.64 / $88.06 / $88.06	Professional	TC	$61.64	$88.06	$88.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.45 / $106.02 / $187.31	Professional		$81.45	$106.02	$187.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.64 / $14.11 / $25.93	Professional	26	$11.64	$14.11	$25.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.26 / $85.88 / $153.47	Professional	TC	$69.26	$85.88	$153.47
United Facility/Professional Professional Modifier Low / Median / High Price $76.97 / $108.66 / $156.50	Professional		$76.97	$108.66	$156.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.85 / $14.27 / $22.76	Professional	26	$11.85	$14.27	$22.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $71.40 / $105.01 / $135.11	Professional	TC	$71.40	$105.01	$135.11