Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $450.63 / $450.63 / $450.63	Facility	26	$450.63	$450.63	$450.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.26 / $475.00 / $1,224.00	Professional		$313.26	$475.00	$1,224.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.73 / $140.00 / $204.00	Professional	26	$70.73	$140.00	$204.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $125.00 / $156.63 / $300.00	Professional	52	$125.00	$156.63	$300.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $335.00 / $420.00	Professional	TC	$187.50	$335.00	$420.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.74 / $280.87 / $765.20	Professional		$238.74	$280.87	$765.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.18 / $100.25 / $150.86	Professional	26	$70.18	$100.25	$150.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $126.43 / $180.61 / $204.49	Professional	TC	$126.43	$180.61	$204.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.14 / $404.08 / $623.79	Professional		$195.14	$404.08	$623.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.41 / $136.18 / $150.79	Professional	26	$64.41	$136.18	$150.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $133.80 / $268.87 / $372.61	Professional	TC	$133.80	$268.87	$372.61
United Facility/Professional Professional Modifier Low / Median / High Price $220.51 / $367.66 / $597.61	Professional		$220.51	$367.66	$597.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.53 / $94.05 / $148.86	Professional	26	$70.53	$94.05	$148.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.36 / $212.25 / $419.62	Professional	TC	$144.36	$212.25	$419.62