Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.97 / $77.97 / $273.47	Facility	26	$77.97	$77.97	$273.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.05 / $170.64 / $231.26	Professional		$93.05	$170.64	$231.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.64 / $66.15 / $128.32	Professional	26	$45.64	$66.15	$128.32
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $46.53 / $74.16 / $120.01	Professional	52	$46.53	$74.16	$120.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.38 / $112.85 / $153.29	Professional	TC	$51.38	$112.85	$153.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.82 / $105.67 / $302.87	Professional		$89.82	$105.67	$302.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.92 / $47.03 / $67.65	Professional	26	$32.92	$47.03	$67.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.05 / $58.64 / $58.64	Professional	TC	$41.05	$58.64	$58.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.98 / $177.26 / $253.32	Professional		$94.98	$177.26	$253.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.26 / $67.38 / $111.81	Professional	26	$45.26	$67.38	$111.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.71 / $96.97 / $147.09	Professional	TC	$49.71	$96.97	$147.09
United Facility/Professional Professional Modifier Low / Median / High Price $117.81 / $198.42 / $266.31	Professional		$117.81	$198.42	$266.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.19 / $76.09 / $102.50	Professional	26	$46.19	$76.09	$102.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $68.81 / $107.13 / $170.98	Professional	TC	$68.81	$107.13	$170.98