Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.99 / $53.99 / $53.99	Facility	26	$53.99	$53.99	$53.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.43 / $354.93 / $451.53	Professional		$292.43	$354.93	$451.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $152.80 / $177.47 / $246.25	Professional	52	$152.80	$177.47	$246.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.25 / $311.22 / $401.68	Professional	TC	$251.25	$311.22	$401.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.33 / $374.52 / $480.39	Professional		$318.33	$374.52	$480.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $231.32 / $330.46 / $330.46	Professional	TC	$231.32	$330.46	$330.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $362.67 / $717.74	Professional		$81.06	$362.67	$717.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $331.61 / $454.44 / $764.66	Professional	TC	$331.61	$454.44	$764.66
United Facility/Professional Professional Modifier Low / Median / High Price $338.44 / $391.70 / $596.88	Professional		$338.44	$391.70	$596.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $290.67 / $340.16 / $518.34	Professional	TC	$290.67	$340.16	$518.34