Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.28 / $93.11 / $115.65	Professional		$92.28	$93.11	$115.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.46 / $81.23 / $168.20	Professional	26	$45.46	$81.23	$168.20
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $46.14 / $46.56 / $57.83	Professional	52	$46.14	$46.56	$57.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.82 / $48.34 / $64.81	Professional	TC	$46.82	$48.34	$64.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $169.00 / $169.00	Professional		$138.00	$169.00	$169.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.00 / $77.00 / $77.00	Professional	26	$63.00	$77.00	$77.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.00 / $92.00 / $92.00	Professional	TC	$75.00	$92.00	$92.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.28 / $220.83 / $344.03	Professional		$131.28	$220.83	$344.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.75 / $80.34 / $125.07	Professional	26	$59.75	$80.34	$125.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.52 / $140.47 / $218.96	Professional	TC	$71.52	$140.47	$218.96
United Facility/Professional Professional Modifier Low / Median / High Price $184.81 / $229.87 / $482.39	Professional		$184.81	$229.87	$482.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.68 / $90.07 / $245.31	Professional	26	$71.68	$90.07	$245.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $113.13 / $142.16 / $315.88	Professional	TC	$113.13	$142.16	$315.88