Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $416.47 / $416.47 / $416.47	Facility	26	$416.47	$416.47	$416.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $475.00 / $1,190.00	Professional		$250.00	$475.00	$1,190.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.31 / $140.00 / $377.00	Professional	26	$74.31	$140.00	$377.00
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 $125.00 / $166.15 / $300.00	Professional	52	$125.00	$166.15	$300.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $335.00 / $420.00	Professional	TC	$187.50	$335.00	$420.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.38 / $300.45 / $556.53	Professional		$255.38	$300.45	$556.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.16 / $91.65 / $129.29	Professional	26	$64.16	$91.65	$129.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $146.15 / $208.79 / $231.84	Professional	TC	$146.15	$208.79	$231.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $430.62 / $601.01	Professional		$208.00	$430.62	$601.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.52 / $129.97 / $139.36	Professional	26	$59.52	$129.97	$139.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.34 / $304.58 / $426.10	Professional	TC	$147.34	$304.58	$426.10
United Facility/Professional Professional Modifier Low / Median / High Price $233.50 / $362.06 / $573.34	Professional		$233.50	$362.06	$573.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.70 / $86.92 / $136.86	Professional	26	$50.70	$86.92	$136.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $153.97 / $237.37 / $434.29	Professional	TC	$153.97	$237.37	$434.29