Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $410.21 / $410.21 / $410.21	Facility	26	$410.21	$410.21	$410.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.96 / $475.00 / $1,190.00	Professional		$214.96	$475.00	$1,190.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.05 / $145.65 / $459.00	Professional	26	$85.05	$145.65	$459.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $125.00 / $165.89 / $300.00	Professional	52	$125.00	$165.89	$300.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $236.18 / $335.00 / $502.50	Professional	TC	$236.18	$335.00	$502.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.97 / $299.95 / $556.53	Professional		$254.97	$299.95	$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 $145.82 / $208.31 / $231.32	Professional	TC	$145.82	$208.31	$231.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.67 / $429.92 / $601.99	Professional		$207.67	$429.92	$601.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.18 / $129.97 / $137.26	Professional	26	$59.18	$129.97	$137.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.62 / $303.89 / $437.13	Professional	TC	$147.62	$303.89	$437.13
United Facility/Professional Professional Modifier Low / Median / High Price $232.42 / $382.23 / $573.34	Professional		$232.42	$382.23	$573.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.10 / $85.61 / $121.94	Professional	26	$60.10	$85.61	$121.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.53 / $236.82 / $436.17	Professional	TC	$162.53	$236.82	$436.17