Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $450.63 / $450.63 / $450.63	Facility	26	$450.63	$450.63	$450.63
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $181.50 / $181.50 / $181.50	Facility	53	$181.50	$181.50	$181.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.74 / $475.00 / $1,415.33	Professional		$251.74	$475.00	$1,415.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.78 / $140.00 / $408.00	Professional	26	$74.78	$140.00	$408.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $125.00 / $161.57 / $300.00	Professional	52	$125.00	$161.57	$300.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.08 / $335.00 / $420.00	Professional	TC	$186.08	$335.00	$420.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.19 / $289.64 / $864.55	Professional		$246.19	$289.64	$864.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.83 / $99.76 / $138.21	Professional	26	$69.83	$99.76	$138.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $132.91 / $189.88 / $212.38	Professional	TC	$132.91	$189.88	$212.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.08 / $415.84 / $617.04	Professional		$201.08	$415.84	$617.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.41 / $135.50 / $150.79	Professional	26	$64.41	$135.50	$150.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $135.78 / $279.17 / $389.14	Professional	TC	$135.78	$279.17	$389.14
United Facility/Professional Professional Modifier Low / Median / High Price $192.64 / $322.44 / $590.79	Professional		$192.64	$322.44	$590.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.11 / $87.26 / $148.86	Professional	26	$66.11	$87.26	$148.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $142.05 / $215.73 / $442.32	Professional	TC	$142.05	$215.73	$442.32