Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.86 / $117.41 / $196.33	Facility	26	$80.86	$117.41	$196.33
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $51.81 / $77.40 / $137.69	Facility	53	$51.81	$77.40	$137.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.77 / $425.00 / $982.25	Professional		$215.77	$425.00	$982.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $119.21 / $288.00	Professional	26	$68.75	$119.21	$288.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $101.66 / $185.25 / $275.00	Professional	52	$101.66	$185.25	$275.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $153.97 / $299.00 / $433.05	Professional	TC	$153.97	$299.00	$433.05
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $78.31 / $78.31 / $78.31	Facility	26	$78.31	$78.31	$78.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.16 / $311.01 / $669.47	Professional		$206.16	$311.01	$669.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $68.39 / $94.33 / $151.35	Professional	26	$68.39	$94.33	$151.35
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $133.71 / $201.66 / $537.47	Professional	TC	$133.71	$201.66	$537.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.26 / $80.26 / $80.26	Facility	26	$80.26	$80.26	$80.26
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $45.11 / $45.11 / $45.11	Facility	53	$45.11	$45.11	$45.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.08 / $422.66 / $826.00	Professional		$201.08	$422.66	$826.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.48 / $100.28 / $174.14	Professional	26	$62.48	$100.28	$174.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $133.16 / $288.20 / $646.78	Professional	TC	$133.16	$288.20	$646.78
United Facility/Professional Professional Modifier Low / Median / High Price $197.18 / $340.68 / $682.82	Professional		$197.18	$340.68	$682.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.22 / $87.23 / $152.30	Professional	26	$64.22	$87.23	$152.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $135.44 / $230.85 / $523.63	Professional	TC	$135.44	$230.85	$523.63