Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.92 / $66.31 / $121.86	Facility	26	$46.92	$66.31	$121.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.88 / $169.17 / $292.56	Professional		$89.88	$169.17	$292.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.16 / $59.28 / $127.39	Professional	26	$42.16	$59.28	$127.39
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $43.11 / $55.73 / $108.54	Professional	52	$43.11	$55.73	$108.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.82 / $95.13 / $151.75	Professional	TC	$46.82	$95.13	$151.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.31 / $149.27 / $300.00	Professional		$95.31	$149.27	$300.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.10 / $61.81 / $101.88	Professional	26	$44.10	$61.81	$101.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.39 / $89.32 / $206.85	Professional	TC	$54.39	$89.32	$206.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.80 / $49.80 / $49.80	Facility	26	$49.80	$49.80	$49.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.04 / $211.43 / $328.82	Professional		$108.04	$211.43	$328.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.84 / $81.70 / $127.49	Professional	26	$46.84	$81.70	$127.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.59 / $121.12 / $198.62	Professional	TC	$60.59	$121.12	$198.62
United Facility/Professional Professional Modifier Low / Median / High Price $107.20 / $198.08 / $312.27	Professional		$107.20	$198.08	$312.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.53 / $74.36 / $117.77	Professional	26	$44.53	$74.36	$117.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.48 / $115.73 / $187.21	Professional	TC	$65.48	$115.73	$187.21