Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.01 / $110.24 / $178.75	Facility	26	$80.01	$110.24	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.89 / $475.00 / $895.94	Professional		$252.89	$475.00	$895.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.72 / $127.56 / $229.46	Professional	26	$70.72	$127.56	$229.46
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $119.41 / $193.10 / $284.62	Professional	52	$119.41	$193.10	$284.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $335.00 / $481.20	Professional	TC	$187.50	$335.00	$481.20
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $77.59 / $77.59 / $77.59	Facility	26	$77.59	$77.59	$77.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.14 / $379.44 / $715.36	Professional		$247.14	$379.44	$715.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.33 / $85.49 / $149.59	Professional	26	$64.33	$85.49	$149.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $177.88 / $291.24 / $590.18	Professional	TC	$177.88	$291.24	$590.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.45 / $79.45 / $79.45	Facility	26	$79.45	$79.45	$79.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.00 / $504.41 / $848.16	Professional		$245.00	$504.41	$848.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.77 / $98.85 / $166.60	Professional	26	$61.77	$98.85	$166.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $183.67 / $387.07 / $669.95	Professional	TC	$183.67	$387.07	$669.95
United Facility/Professional Professional Modifier Low / Median / High Price $243.28 / $424.91 / $755.78	Professional		$243.28	$424.91	$755.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.81 / $87.90 / $169.55	Professional	26	$63.81	$87.90	$169.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $175.72 / $312.38 / $592.69	Professional	TC	$175.72	$312.38	$592.69