Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $371.54 / $870.96	Facility		$100.00	$371.54	$870.96
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.44 / $34.67 / $89.13	Facility	26	$23.44	$34.67	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $154.88 / $478.63	Professional		$93.33	$154.88	$478.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $43.65 / $114.82	Professional	26	$23.99	$43.65	$114.82
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $28.18 / $102.33 / $239.88	Professional	52	$28.18	$102.33	$239.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $97.72 / $239.88	Professional	TC	$69.18	$97.72	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $263.03 / $467.74	Facility		$95.50	$263.03	$467.74
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $29.51 / $29.51	Facility	26	$29.51	$29.51	$29.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $223.87	Professional		$85.11	$125.89	$223.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $34.67 / $60.26	Professional	26	$25.12	$34.67	$60.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $93.33 / $165.96	Professional	TC	$63.10	$93.33	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $263.03 / $512.86	Facility		$109.65	$263.03	$512.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.61 / $34.67 / $85.11	Facility	26	$6.61	$34.67	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $144.54 / $288.40	Professional		$89.13	$144.54	$288.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $37.15 / $72.44	Professional	26	$22.39	$37.15	$72.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $112.20 / $229.09	Professional	TC	$64.57	$112.20	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $134.90 / $309.03	Facility		$60.26	$134.90	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $223.87	Professional		$85.11	$117.49	$223.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $29.51 / $54.95	Professional	26	$22.39	$29.51	$54.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $89.13 / $169.82	Professional	TC	$63.10	$89.13	$169.82