Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $540.39 / $540.39 / $540.39	Facility	26	$540.39	$540.39	$540.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.02 / $475.00 / $600.00	Professional		$299.02	$475.00	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.21 / $140.00 / $180.00	Professional	26	$90.21	$140.00	$180.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $149.52 / $225.85 / $300.00	Professional	52	$149.52	$225.85	$300.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $208.82 / $335.00 / $420.00	Professional	TC	$208.82	$335.00	$420.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.49 / $399.40 / $966.73	Professional		$339.49	$399.40	$966.73
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.31 / $120.44 / $167.97	Professional	26	$84.31	$120.44	$167.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $195.28 / $278.97 / $313.88	Professional	TC	$195.28	$278.97	$313.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.39 / $573.71 / $806.46	Professional		$276.39	$573.71	$806.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.15 / $165.00 / $180.82	Professional	26	$78.15	$165.00	$180.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $193.30 / $403.58 / $575.03	Professional	TC	$193.30	$403.58	$575.03
United Facility/Professional Professional Modifier Low / Median / High Price $313.62 / $488.69 / $714.70	Professional		$313.62	$488.69	$714.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.73 / $105.14 / $179.04	Professional	26	$79.73	$105.14	$179.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $163.22 / $296.62 / $528.49	Professional	TC	$163.22	$296.62	$528.49