Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $114.82 / $316.23	Facility	26	$72.44	$114.82	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $478.63 / $1,479.11	Professional		$245.47	$478.63	$1,479.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $128.82 / $288.40	Professional	26	$67.61	$128.82	$288.40
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $147.91 / $549.54 / $1,995.26	Professional	52	$147.91	$549.54	$1,995.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $302.00 / $616.60	Professional	TC	$169.82	$302.00	$616.60
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $77.62 / $77.62	Facility	26	$77.62	$77.62	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $398.11 / $831.76	Professional		$234.42	$398.11	$831.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $83.18 / $165.96	Professional	26	$64.57	$83.18	$165.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $316.23 / $707.95	Professional	TC	$177.83	$316.23	$707.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $89.13 / $218.78	Facility	26	$16.98	$89.13	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $478.63 / $891.25	Professional		$229.09	$478.63	$891.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $97.72 / $194.98	Professional	26	$56.23	$97.72	$194.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $354.81 / $707.95	Professional	TC	$165.96	$354.81	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $389.05 / $741.31	Professional		$229.09	$389.05	$741.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $77.62 / $151.36	Professional	26	$58.88	$77.62	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $295.12 / $602.56	Professional	TC	$165.96	$295.12	$602.56