Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $109.65 / $281.84	Facility	26	$67.61	$109.65	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $371.54 / $1,318.26	Professional		$117.49	$371.54	$1,318.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $125.89 / $323.59	Professional	26	$63.10	$125.89	$323.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $1,230.27 / $1,905.46	Professional	50	$288.40	$1,230.27	$1,905.46
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $107.15 / $407.38 / $1,047.13	Professional	52	$107.15	$407.38	$1,047.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $281.84 / $676.08	Professional	TC	$144.54	$281.84	$676.08
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $72.44	Facility	26	$72.44	$72.44	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $371.54 / $776.25	Professional		$204.17	$371.54	$776.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $83.18 / $154.88	Professional	26	$63.10	$83.18	$154.88
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $316.23 / $489.78 / $1,096.48	Professional	50	$316.23	$489.78	$1,096.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $269.15 / $645.65	Professional	TC	$151.36	$269.15	$645.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.49 / $83.18 / $204.17	Facility	26	$15.49	$83.18	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $416.87 / $812.83	Professional		$194.98	$416.87	$812.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $91.20 / $186.21	Professional	26	$52.48	$91.20	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $295.12 / $645.65	Professional	TC	$138.04	$295.12	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $676.08	Professional		$199.53	$331.13	$676.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $72.44 / $141.25	Professional	26	$54.95	$72.44	$141.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $229.09 / $537.03	Professional	TC	$138.04	$229.09	$537.03