Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $389.05 / $389.05 / $389.05	Facility	26	$389.05	$389.05	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $446.68 / $1,380.38	Professional		$208.93	$446.68	$1,380.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $112.20 / $263.03	Professional	26	$66.07	$112.20	$263.03
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $158.49 / $158.49 / $870.96	Professional	52	$158.49	$158.49	$870.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $309.03 / $812.83	Professional	TC	$141.25	$309.03	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $524.81	Professional		$208.93	$281.84	$524.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $91.20 / $158.49	Professional	26	$70.79	$91.20	$158.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $169.82 / $213.80	Professional	TC	$125.89	$169.82	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $407.38 / $776.25	Professional		$190.55	$407.38	$776.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $134.90 / $162.18	Professional	26	$58.88	$134.90	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $269.15 / $630.96	Professional	TC	$134.90	$269.15	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $338.84 / $588.84	Professional		$218.78	$338.84	$588.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $85.11 / $134.90	Professional	26	$69.18	$85.11	$134.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $204.17 / $407.38	Professional	TC	$144.54	$204.17	$407.38