Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.32 / $110.25 / $190.93	Facility	26	$73.32	$110.25	$190.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.97 / $422.27 / $938.01	Professional		$199.97	$422.27	$938.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.75 / $129.47 / $273.00	Professional	26	$65.75	$129.47	$273.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,218.00 / $1,218.00 / $1,218.00	Professional	50	$1,218.00	$1,218.00	$1,218.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $104.87 / $187.50 / $262.50	Professional	52	$104.87	$187.50	$262.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.87 / $319.07 / $483.17	Professional	TC	$158.87	$319.07	$483.17
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $72.55 / $72.55 / $72.55	Facility	26	$72.55	$72.55	$72.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.47 / $321.87 / $653.94	Professional		$211.47	$321.87	$653.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.01 / $84.37 / $140.14	Professional	26	$61.01	$84.37	$140.14
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $313.20 / $432.68 / $927.45	Professional	50	$313.20	$432.68	$927.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $145.88 / $232.30 / $510.20	Professional	TC	$145.88	$232.30	$510.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.64 / $73.64 / $73.64	Facility	26	$73.64	$73.64	$73.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $435.88 / $776.00	Professional		$208.00	$435.88	$776.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.68 / $92.08 / $157.04	Professional	26	$57.68	$92.08	$157.04
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $301.29 / $301.29 / $343.71	Professional	50	$301.29	$301.29	$343.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.77 / $304.58 / $634.00	Professional	TC	$144.77	$304.58	$634.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.15 / $363.84 / $666.14	Professional		$210.15	$363.84	$666.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.04 / $79.12 / $145.50	Professional	26	$59.04	$79.12	$145.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $146.82 / $247.51 / $530.16	Professional	TC	$146.82	$247.51	$530.16