Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $169.82 / $346.74	Professional		$93.33	$169.82	$346.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $85.11 / $218.78	Professional	26	$46.77	$85.11	$218.78
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $44.67 / $44.67 / $245.47	Professional	52	$44.67	$44.67	$245.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $112.20 / $208.93	Professional	TC	$51.29	$112.20	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $234.42	Professional		$79.43	$104.71	$234.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $43.65 / $85.11	Professional	26	$33.11	$43.65	$85.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $50.12 / $81.28	Professional	TC	$40.74	$50.12	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $194.98 / $371.54	Professional		$95.50	$194.98	$371.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $87.10 / $125.89	Professional	26	$45.71	$87.10	$125.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $120.23 / $245.47	Professional	TC	$50.12	$120.23	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $218.78 / $338.84	Professional		$120.23	$218.78	$338.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $83.18 / $102.33	Professional	26	$46.77	$83.18	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $120.23 / $181.97	Professional	TC	$70.79	$120.23	$181.97