Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.36 / $421.61 / $821.64	Facility		$103.36	$421.61	$821.64
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.73 / $32.84 / $54.96	Facility	26	$25.73	$32.84	$54.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.46 / $130.58 / $374.22	Professional		$98.46	$130.58	$374.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.07 / $34.65 / $100.25	Professional	26	$24.07	$34.65	$100.25
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $45.49 / $55.20 / $81.96	Professional	52	$45.49	$55.20	$81.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.01 / $94.28 / $191.61	Professional	TC	$73.01	$94.28	$191.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.00 / $277.26 / $437.00	Facility		$138.00	$277.26	$437.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $29.68 / $29.68 / $29.68	Facility	26	$29.68	$29.68	$29.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $132.80 / $214.43	Professional		$105.13	$132.80	$214.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.88 / $35.25 / $54.20	Professional	26	$25.88	$35.25	$54.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.76 / $99.53 / $162.67	Professional	TC	$75.76	$99.53	$162.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.03 / $251.51 / $410.73	Facility		$136.03	$251.51	$410.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.47 / $30.47 / $30.47	Facility	26	$30.47	$30.47	$30.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.72 / $140.15 / $253.83	Professional		$92.72	$140.15	$253.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.26 / $36.82 / $62.89	Professional	26	$24.26	$36.82	$62.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.54 / $111.66 / $198.52	Professional	TC	$67.54	$111.66	$198.52
United Facility/Professional Facility Modifier Low / Median / High Price $108.97 / $143.63 / $214.74	Facility		$108.97	$143.63	$214.74
United Facility/Professional Professional Modifier Low / Median / High Price $99.34 / $123.22 / $221.26	Professional		$99.34	$123.22	$221.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.88 / $31.36 / $53.36	Professional	26	$25.88	$31.36	$53.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $73.22 / $92.84 / $169.37	Professional	TC	$73.22	$92.84	$169.37