Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.28 / $66.28 / $67.53	Facility	26	$66.28	$66.28	$67.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.82 / $379.11 / $475.00	Professional		$238.82	$379.11	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.59 / $114.98 / $140.00	Professional	26	$66.59	$114.98	$140.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $119.41 / $189.56 / $237.50	Professional	52	$119.41	$189.56	$237.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.61 / $264.13 / $335.00	Professional	TC	$168.61	$264.13	$335.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $613.00 / $1,005.00 / $1,859.00	Professional		$613.00	$1,005.00	$1,859.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $177.00 / $290.00 / $537.00	Professional	26	$177.00	$290.00	$537.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $436.00 / $715.00 / $1,322.00	Professional	TC	$436.00	$715.00	$1,322.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.16 / $579.22 / $1,056.16	Professional		$375.16	$579.22	$1,056.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.48 / $120.18 / $261.32	Professional	26	$79.48	$120.18	$261.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $266.55 / $432.42 / $840.00	Professional	TC	$266.55	$432.42	$840.00
United Facility/Professional Professional Modifier Low / Median / High Price $419.44 / $521.70 / $1,520.19	Professional		$419.44	$521.70	$1,520.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.38 / $144.88 / $237.61	Professional	26	$62.38	$144.88	$237.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $302.95 / $376.81 / $1,294.69	Professional	TC	$302.95	$376.81	$1,294.69