Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $114.82 / $309.03	Facility	26	$74.13	$114.82	$309.03
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $54.95 / $69.18 / $1,819.70	Facility	53	$54.95	$69.18	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $426.58 / $1,412.54	Professional		$204.17	$426.58	$1,412.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $107.15 / $288.40	Professional	26	$66.07	$107.15	$288.40
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $97.72 / $169.82 / $524.81	Professional	52	$97.72	$169.82	$524.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $257.04 / $562.34	Professional	TC	$131.83	$257.04	$562.34
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $77.62 / $77.62	Facility	26	$77.62	$77.62	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $389.05 / $812.83	Professional		$199.53	$389.05	$812.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $95.50 / $173.78	Professional	26	$69.18	$95.50	$173.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $281.84 / $660.69	Professional	TC	$138.04	$281.84	$660.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $91.20 / $223.87	Facility	26	$16.98	$91.20	$223.87
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $22.91 / $40.74 / $61.66	Facility	53	$22.91	$40.74	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $426.58 / $831.76	Professional		$190.55	$426.58	$831.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $100.00 / $199.53	Professional	26	$56.23	$100.00	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $281.84 / $676.08	Professional	TC	$125.89	$281.84	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $691.83	Professional		$190.55	$331.13	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $79.43 / $154.88	Professional	26	$60.26	$79.43	$154.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $213.80 / $549.54	Professional	TC	$128.82	$213.80	$549.54