Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.00 / $266.26 / $2,812.76	Facility		$147.00	$266.26	$2,812.76
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.15 / $88.72 / $152.29	Facility	26	$73.15	$88.72	$152.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.59 / $201.59 / $289.02	Professional		$128.59	$201.59	$289.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.86 / $72.37 / $147.53	Professional	26	$48.86	$72.37	$147.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $63.23 / $73.97 / $123.62	Professional	52	$63.23	$73.97	$123.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.14 / $116.53 / $202.54	Professional	TC	$60.14	$116.53	$202.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $332.06 / $570.00 / $838.97	Facility		$332.06	$570.00	$838.97
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $61.20 / $61.20 / $61.20	Facility	26	$61.20	$61.20	$61.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.94 / $213.57 / $514.43	Professional		$151.94	$213.57	$514.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.78 / $88.01 / $144.33	Professional	26	$63.78	$88.01	$144.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.89 / $128.65 / $404.80	Professional	TC	$68.89	$128.65	$404.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.42 / $677.09 / $6,433.20	Facility		$193.42	$677.09	$6,433.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.06 / $94.06 / $94.06	Facility	26	$94.06	$94.06	$94.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.83 / $276.73 / $601.07	Professional		$138.83	$276.73	$601.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.09 / $91.09 / $174.52	Professional	26	$60.09	$91.09	$174.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.80 / $144.24 / $474.56	Professional	TC	$68.80	$144.24	$474.56
United Facility/Professional Facility Modifier Low / Median / High Price $172.28 / $172.28 / $172.28	Facility		$172.28	$172.28	$172.28
United Facility/Professional Professional Modifier Low / Median / High Price $158.74 / $230.40 / $500.02	Professional		$158.74	$230.40	$500.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.09 / $88.42 / $163.09	Professional	26	$56.09	$88.42	$163.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.89 / $123.35 / $344.49	Professional	TC	$74.89	$123.35	$344.49