Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.60 / $97.60 / $97.60	Facility	26	$97.60	$97.60	$97.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.27 / $390.61 / $580.35	Professional		$308.27	$390.61	$580.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.76 / $59.49 / $97.60	Professional	26	$49.76	$59.49	$97.60
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $154.13 / $195.31 / $290.18	Professional	52	$154.13	$195.31	$290.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.94 / $328.83 / $482.75	Professional	TC	$257.94	$328.83	$482.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.56 / $421.32 / $506.87	Professional		$307.56	$421.32	$506.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.47 / $60.92 / $72.31	Professional	26	$44.47	$60.92	$72.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $263.08 / $360.40 / $434.56	Professional	TC	$263.08	$360.40	$434.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.41 / $517.39 / $1,627.77	Professional		$369.41	$517.39	$1,627.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.34 / $80.93 / $228.42	Professional	26	$56.34	$80.93	$228.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $308.89 / $408.74 / $1,399.35	Professional	TC	$308.89	$408.74	$1,399.35
United Facility/Professional Professional Modifier Low / Median / High Price $290.27 / $388.61 / $673.92	Professional		$290.27	$388.61	$673.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.21 / $60.95 / $96.30	Professional	26	$44.21	$60.95	$96.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $256.60 / $333.93 / $569.86	Professional	TC	$256.60	$333.93	$569.86