Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.04 / $119.40 / $138.00	Professional		$74.04	$119.40	$138.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.30 / $12.63 / $15.86	Professional	26	$11.30	$12.63	$15.86
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $37.02 / $54.10 / $69.00	Professional	52	$37.02	$54.10	$69.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.41 / $103.66 / $125.37	Professional	TC	$62.41	$103.66	$125.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $148.00 / $148.00	Professional		$120.00	$148.00	$148.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.00 / $21.00 / $21.00	Professional	26	$17.00	$21.00	$21.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $103.00 / $127.00 / $127.00	Professional	TC	$103.00	$127.00	$127.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.55 / $140.66 / $193.57	Professional		$99.55	$140.66	$193.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.37 / $19.59 / $27.26	Professional	26	$12.37	$19.59	$27.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.78 / $121.08 / $161.00	Professional	TC	$87.78	$121.08	$161.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $168.31 / $381.13	Professional		$134.41	$168.31	$381.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.56 / $24.29 / $44.21	Professional	26	$14.56	$24.29	$44.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $114.25 / $149.05 / $323.97	Professional	TC	$114.25	$149.05	$323.97