Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.12 / $110.25 / $208.92	Facility	26	$73.12	$110.25	$208.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.72 / $415.70 / $963.49	Professional		$187.72	$415.70	$963.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.52 / $135.44 / $315.94	Professional	26	$65.52	$135.44	$315.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $475.00 / $475.00 / $475.00	Professional	50	$475.00	$475.00	$475.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $104.71 / $183.96 / $262.50	Professional	52	$104.71	$183.96	$262.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.50 / $335.00 / $502.50	Professional	TC	$158.50	$335.00	$502.50
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $72.18 / $72.18 / $72.18	Facility	26	$72.18	$72.18	$72.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.47 / $322.30 / $653.94	Professional		$211.47	$322.30	$653.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.01 / $84.07 / $140.14	Professional	26	$61.01	$84.07	$140.14
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $312.96 / $434.01 / $926.71	Professional	50	$312.96	$434.01	$926.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $145.56 / $232.30 / $511.50	Professional	TC	$145.56	$232.30	$511.50
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 $207.67 / $435.21 / $793.49	Professional		$207.67	$435.21	$793.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.27 / $90.67 / $156.22	Professional	26	$57.27	$90.67	$156.22
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 $144.36 / $305.91 / $634.00	Professional	TC	$144.36	$305.91	$634.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.00 / $368.64 / $665.67	Professional		$205.00	$368.64	$665.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.90 / $76.98 / $142.57	Professional	26	$58.90	$76.98	$142.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $146.79 / $236.82 / $527.01	Professional	TC	$146.79	$236.82	$527.01