Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.93 / $66.93 / $68.18	Facility	26	$66.93	$66.93	$68.18
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $38.60 / $38.60 / $40.17	Facility	53	$38.60	$38.60	$40.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.14 / $321.72 / $475.00	Professional		$202.14	$321.72	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.90 / $140.00 / $420.03	Professional	26	$70.90	$140.00	$420.03
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $101.07 / $160.86 / $237.50	Professional	52	$101.07	$160.86	$237.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.25 / $205.58 / $398.68	Professional	TC	$131.25	$205.58	$398.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $521.00 / $858.00 / $1,584.00	Professional		$521.00	$858.00	$1,584.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $179.00 / $295.00 / $544.00	Professional	26	$179.00	$295.00	$544.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $342.00 / $563.00 / $1,040.00	Professional	TC	$342.00	$563.00	$1,040.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.14 / $505.47 / $1,000.00	Professional		$300.14	$505.47	$1,000.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.23 / $121.38 / $265.11	Professional	26	$80.23	$121.38	$265.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $201.83 / $333.18 / $720.50	Professional	TC	$201.83	$333.18	$720.50
United Facility/Professional Professional Modifier Low / Median / High Price $351.68 / $441.29 / $1,525.71	Professional		$351.68	$441.29	$1,525.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.67 / $133.72 / $238.70	Professional	26	$62.67	$133.72	$238.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $233.51 / $308.57 / $1,298.00	Professional	TC	$233.51	$308.57	$1,298.00