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 $250.00 / $475.00 / $1,395.58	Professional		$250.00	$475.00	$1,395.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.78 / $140.00 / $180.00	Professional	26	$74.78	$140.00	$180.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $125.00 / $155.85 / $300.00	Professional	52	$125.00	$155.85	$300.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $335.00 / $492.45	Professional	TC	$187.50	$335.00	$492.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.57 / $281.85 / $755.41	Professional		$239.57	$281.85	$755.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.18 / $100.25 / $140.38	Professional	26	$70.18	$100.25	$140.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $127.11 / $181.58 / $205.03	Professional	TC	$127.11	$181.58	$205.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.80 / $405.47 / $643.09	Professional		$195.80	$405.47	$643.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.73 / $136.18 / $150.79	Professional	26	$64.73	$136.18	$150.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $133.80 / $268.82 / $374.56	Professional	TC	$133.80	$268.82	$374.56
United Facility/Professional Professional Modifier Low / Median / High Price $187.74 / $341.19 / $607.61	Professional		$187.74	$341.19	$607.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.11 / $87.47 / $149.66	Professional	26	$66.11	$87.47	$149.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.19 / $206.73 / $417.46	Professional	TC	$144.19	$206.73	$417.46