Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $162.18 / $416.87	Facility	26	$109.65	$162.18	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $524.81 / $2,089.30	Professional		$323.59	$524.81	$2,089.30
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $524.81 / $524.81 / $524.81	Professional	22	$524.81	$524.81	$524.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $181.97 / $512.86	Professional	26	$102.33	$181.97	$512.86
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $138.04 / $239.88 / $933.25	Professional	52	$138.04	$239.88	$933.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $338.84 / $1,000.00	Professional	TC	$218.78	$338.84	$1,000.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $120.23 / $120.23	Facility	26	$120.23	$120.23	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $537.03 / $1,412.54	Professional		$323.59	$537.03	$1,412.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $147.91 / $269.15	Professional	26	$104.71	$147.91	$269.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $380.19 / $1,174.90	Professional	TC	$229.09	$380.19	$1,174.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $141.25 / $346.74	Facility	26	$26.30	$141.25	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $645.65 / $1,445.44	Professional		$309.03	$645.65	$1,445.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $151.36 / $309.03	Professional	26	$87.10	$151.36	$309.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $436.52 / $1,148.15	Professional	TC	$213.80	$436.52	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $524.81 / $1,174.90	Professional		$316.23	$524.81	$1,174.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $123.03 / $239.88	Professional	26	$93.33	$123.03	$239.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $363.08 / $954.99	Professional	TC	$213.80	$363.08	$954.99