Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,049.78 / $8,049.78 / $8,049.78	Facility		$8,049.78	$8,049.78	$8,049.78
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $521.53 / $521.53 / $521.53	Facility	26	$521.53	$521.53	$521.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.46 / $211.53 / $244.02	Professional		$126.46	$211.53	$244.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.70 / $54.31 / $117.54	Professional	26	$39.70	$54.31	$117.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $63.23 / $73.59 / $117.97	Professional	52	$63.23	$73.59	$117.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.77 / $162.66 / $184.13	Professional	TC	$65.77	$162.66	$184.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,750.07 / $5,887.90 / $6,926.75	Facility		$4,750.07	$5,887.90	$6,926.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.06 / $183.69 / $357.41	Professional		$167.06	$183.69	$357.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.29 / $98.99 / $103.18	Professional	26	$69.29	$98.99	$103.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $59.30 / $84.71 / $103.98	Professional	TC	$59.30	$84.71	$103.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $355.08 / $6,835.74 / $12,016.81	Facility		$355.08	$6,835.74	$12,016.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.07 / $275.69 / $417.28	Professional		$146.07	$275.69	$417.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.50 / $121.23 / $174.52	Professional	26	$66.50	$121.23	$174.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $81.44 / $130.43 / $228.28	Professional	TC	$81.44	$130.43	$228.28
United Facility/Professional Professional Modifier Low / Median / High Price $170.60 / $247.46 / $569.48	Professional		$170.60	$247.46	$569.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.85 / $98.13 / $170.94	Professional	26	$52.85	$98.13	$170.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.67 / $109.75 / $421.72	Professional	TC	$78.67	$109.75	$421.72