Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.23 / $73.69 / $109.33	Facility	26	$62.23	$73.69	$109.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.06 / $441.00 / $614.75	Professional		$358.06	$441.00	$614.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.94 / $62.46 / $88.53	Professional	26	$53.94	$62.46	$88.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $177.42 / $207.70 / $290.18	Professional	52	$177.42	$207.70	$290.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $300.74 / $374.90 / $540.64	Professional	TC	$300.74	$374.90	$540.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.79 / $472.75 / $784.19	Professional		$369.79	$472.75	$784.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.92 / $72.67 / $118.48	Professional	26	$52.92	$72.67	$118.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $317.48 / $407.99 / $678.44	Professional	TC	$317.48	$407.99	$678.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.31 / $67.31 / $67.31	Facility	26	$67.31	$67.31	$67.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.43 / $622.23 / $1,060.73	Professional		$413.43	$622.23	$1,060.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.91 / $91.49 / $149.37	Professional	26	$60.91	$91.49	$149.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $352.06 / $523.59 / $864.93	Professional	TC	$352.06	$523.59	$864.93
United Facility/Professional Professional Modifier Low / Median / High Price $391.40 / $558.65 / $923.67	Professional		$391.40	$558.65	$923.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.52 / $86.75 / $137.16	Professional	26	$58.52	$86.75	$137.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $332.78 / $461.86 / $771.08	Professional	TC	$332.78	$461.86	$771.08