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 / $309.03	Facility	26	$74.13	$114.82	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $467.74 / $1,380.38	Professional		$199.53	$467.74	$1,380.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $112.20 / $281.84	Professional	26	$66.07	$112.20	$281.84
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $151.36 / $371.54 / $1,230.27	Professional	52	$151.36	$371.54	$1,230.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $257.04 / $575.44	Professional	TC	$123.03	$257.04	$575.44
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 / $851.14	Professional		$194.98	$389.05	$851.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $95.50 / $173.78	Professional	26	$69.18	$95.50	$173.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $275.42 / $676.08	Professional	TC	$131.83	$275.42	$676.08
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 / $851.14	Professional		$186.21	$407.38	$851.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $100.00 / $199.53	Professional	26	$57.54	$100.00	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $275.42 / $676.08	Professional	TC	$120.23	$275.42	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $323.59 / $676.08	Professional		$186.21	$323.59	$676.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $79.43 / $154.88	Professional	26	$60.26	$79.43	$154.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $208.93 / $537.03	Professional	TC	$123.03	$208.93	$537.03