Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.48 / $62.65 / $1,689.10	Facility	26	$61.48	$62.65	$1,689.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.37 / $331.00 / $639.82	Professional		$208.37	$331.00	$639.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.42 / $140.00 / $473.40	Professional	26	$65.42	$140.00	$473.40
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $104.19 / $165.50 / $237.50	Professional	52	$104.19	$165.50	$237.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $142.94 / $223.91 / $335.00	Professional	TC	$142.94	$223.91	$335.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $539.00 / $885.00 / $1,636.00	Professional		$539.00	$885.00	$1,636.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $164.00 / $269.00 / $498.00	Professional	26	$164.00	$269.00	$498.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $375.00 / $616.00 / $1,138.00	Professional	TC	$375.00	$616.00	$1,138.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.12 / $460.69 / $762.19	Professional		$307.12	$460.69	$762.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.68 / $100.75 / $181.79	Professional	26	$73.68	$100.75	$181.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $216.70 / $348.04 / $580.41	Professional	TC	$216.70	$348.04	$580.41
United Facility/Professional Professional Modifier Low / Median / High Price $360.64 / $448.57 / $1,466.31	Professional		$360.64	$448.57	$1,466.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.05 / $133.72 / $221.09	Professional	26	$58.05	$133.72	$221.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $253.12 / $338.79 / $1,257.31	Professional	TC	$253.12	$338.79	$1,257.31