Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.25 / $68.52 / $2,222.76	Facility	26	$67.25	$68.52	$2,222.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.92 / $315.10 / $475.00	Professional		$197.92	$315.10	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.44 / $140.00 / $350.83	Professional	26	$69.44	$140.00	$350.83
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $98.96 / $157.55 / $237.50	Professional	52	$98.96	$157.55	$237.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $126.70 / $198.45 / $335.00	Professional	TC	$126.70	$198.45	$335.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $509.00 / $837.00 / $1,545.00	Professional		$509.00	$837.00	$1,545.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $179.00 / $295.00 / $544.00	Professional	26	$179.00	$295.00	$544.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $330.00 / $542.00 / $1,001.00	Professional	TC	$330.00	$542.00	$1,001.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.93 / $464.27 / $1,000.00	Professional		$289.93	$464.27	$1,000.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.64 / $121.92 / $265.11	Professional	26	$80.64	$121.92	$265.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $191.14 / $320.64 / $799.70	Professional	TC	$191.14	$320.64	$799.70
United Facility/Professional Professional Modifier Low / Median / High Price $342.72 / $426.28 / $1,398.09	Professional		$342.72	$426.28	$1,398.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.25 / $133.74 / $228.82	Professional	26	$63.25	$133.74	$228.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $224.56 / $279.31 / $1,169.27	Professional	TC	$224.56	$279.31	$1,169.27