Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $67.61 / $162.18	Facility	26	$44.67	$67.61	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $165.96 / $489.78	Professional		$89.13	$165.96	$489.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $66.07 / $208.93	Professional	26	$41.69	$66.07	$208.93
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $43.65 / $93.33 / $630.96	Professional	52	$43.65	$93.33	$630.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $77.62 / $190.55	Professional	TC	$44.67	$77.62	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $426.58	Professional		$100.00	$165.96	$426.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $69.18 / $147.91	Professional	26	$48.98	$69.18	$147.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $102.33 / $275.42	Professional	TC	$58.88	$102.33	$275.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $56.23 / $154.88	Facility	26	$10.47	$56.23	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $208.93 / $354.81	Professional		$104.71	$208.93	$354.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $87.10 / $138.04	Professional	26	$46.77	$87.10	$138.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $120.23 / $213.80	Professional	TC	$54.95	$120.23	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $181.97 / $316.23	Professional		$102.33	$181.97	$316.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $69.18 / $120.23	Professional	26	$40.74	$69.18	$120.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $109.65 / $190.55	Professional	TC	$61.66	$109.65	$190.55