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 / $302.00	Facility	26	$67.61	$109.65	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $363.08 / $1,288.25	Professional		$95.50	$363.08	$1,288.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $131.83 / $380.19	Professional	26	$63.10	$131.83	$380.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $234.42 / $478.63 / $1,778.28	Professional	50	$234.42	$478.63	$1,778.28
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $31.62 / $223.87 / $1,023.29	Professional	52	$31.62	$223.87	$1,023.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $302.00 / $776.25	Professional	TC	$141.25	$302.00	$776.25
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 / $380.19 / $776.25	Professional		$204.17	$380.19	$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 / $660.69	Professional	TC	$151.36	$269.15	$660.69
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 / $549.54	Professional	TC	$138.04	$229.09	$549.54