Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.22 / $392.22 / $392.22	Facility		$392.22	$392.22	$392.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.25 / $184.55 / $212.34	Professional		$116.25	$184.55	$212.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.85 / $23.55 / $49.32	Professional	26	$20.85	$23.55	$49.32
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $58.13 / $84.84 / $106.17	Professional	52	$58.13	$84.84	$106.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.24 / $157.59 / $189.29	Professional	TC	$95.24	$157.59	$189.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $234.00 / $234.00	Professional		$190.00	$234.00	$234.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.00 / $31.00 / $38.00	Professional	26	$31.00	$31.00	$38.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $159.00 / $196.00 / $196.00	Professional	TC	$159.00	$196.00	$196.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.56 / $222.52 / $299.00	Professional		$153.56	$222.52	$299.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.61 / $35.75 / $47.70	Professional	26	$22.61	$35.75	$47.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $131.81 / $186.77 / $242.00	Professional	TC	$131.81	$186.77	$242.00
United Facility/Professional Professional Modifier Low / Median / High Price $209.45 / $260.70 / $593.91	Professional		$209.45	$260.70	$593.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.38 / $42.52 / $81.90	Professional	26	$26.38	$42.52	$81.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $174.16 / $212.29 / $493.85	Professional	TC	$174.16	$212.29	$493.85