Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $114.82 / $295.12	Facility	26	$74.13	$114.82	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $467.74 / $1,258.93	Professional		$199.53	$467.74	$1,258.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $125.89 / $309.03	Professional	26	$67.61	$125.89	$309.03
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $134.90 / $331.13 / $870.96	Professional	52	$134.90	$331.13	$870.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $251.19 / $588.84	Professional	TC	$123.03	$251.19	$588.84
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $79.43 / $79.43	Facility	26	$79.43	$79.43	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $389.05 / $812.83	Professional		$194.98	$389.05	$812.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $100.00 / $177.83	Professional	26	$70.79	$100.00	$177.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $275.42 / $645.65	Professional	TC	$131.83	$275.42	$645.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $91.20 / $223.87	Facility	26	$16.98	$91.20	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $407.38 / $812.83	Professional		$186.21	$407.38	$812.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $102.33 / $204.17	Professional	26	$57.54	$102.33	$204.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $275.42 / $630.96	Professional	TC	$120.23	$275.42	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $316.23 / $660.69	Professional		$186.21	$316.23	$660.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $81.28 / $158.49	Professional	26	$61.66	$81.28	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $204.17 / $512.86	Professional	TC	$123.03	$204.17	$512.86