Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.59 / $156.88 / $283.13	Facility	26	$118.59	$156.88	$283.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.68 / $475.00 / $1,077.65	Professional		$334.68	$475.00	$1,077.65
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $521.33 / $521.33 / $525.78	Professional	22	$521.33	$521.33	$525.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.94 / $156.35 / $421.00	Professional	26	$108.94	$156.35	$421.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $163.31 / $212.50 / $300.00	Professional	52	$163.31	$212.50	$300.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $234.20 / $335.00 / $603.60	Professional	TC	$234.20	$335.00	$603.60
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $121.52 / $121.52 / $121.52	Facility	26	$121.52	$121.52	$121.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.02 / $457.25 / $968.99	Professional		$337.02	$457.25	$968.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $105.60 / $146.25 / $240.12	Professional	26	$105.60	$146.25	$240.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $224.98 / $315.33 / $827.93	Professional	TC	$224.98	$315.33	$827.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.88 / $123.88 / $123.88	Facility	26	$123.88	$123.88	$123.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.20 / $685.52 / $1,341.10	Professional		$326.20	$685.52	$1,341.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.08 / $156.51 / $267.92	Professional	26	$97.08	$156.51	$267.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $220.93 / $470.06 / $1,124.79	Professional	TC	$220.93	$470.06	$1,124.79
United Facility/Professional Professional Modifier Low / Median / High Price $331.52 / $555.96 / $1,197.39	Professional		$331.52	$555.96	$1,197.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $99.70 / $133.38 / $245.59	Professional	26	$99.70	$133.38	$245.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $223.73 / $389.55 / $903.49	Professional	TC	$223.73	$389.55	$903.49