Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.15 / $104.15 / $106.07	Facility	26	$104.15	$104.15	$106.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.85 / $475.00 / $524.54	Professional		$329.85	$475.00	$524.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.94 / $140.00 / $629.00	Professional	26	$108.94	$140.00	$629.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $164.93 / $237.50 / $262.27	Professional	52	$164.93	$237.50	$262.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $220.57 / $335.00 / $345.48	Professional	TC	$220.57	$335.00	$345.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.00 / $1,398.00 / $2,582.00	Professional		$851.00	$1,398.00	$2,582.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $277.00 / $455.00 / $840.00	Professional	26	$277.00	$455.00	$840.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $574.00 / $943.00 / $1,742.00	Professional	TC	$574.00	$943.00	$1,742.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.20 / $739.79 / $1,543.97	Professional		$493.20	$739.79	$1,543.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.29 / $194.03 / $408.57	Professional	26	$128.29	$194.03	$408.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $340.45 / $561.65 / $1,233.93	Professional	TC	$340.45	$561.65	$1,233.93
United Facility/Professional Professional Modifier Low / Median / High Price $575.12 / $715.34 / $2,356.17	Professional		$575.12	$715.34	$2,356.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.22 / $205.98 / $381.71	Professional	26	$100.22	$205.98	$381.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $393.12 / $518.38 / $1,974.47	Professional	TC	$393.12	$518.38	$1,974.47