Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.66 / $446.28 / $575.23	Facility		$328.66	$446.28	$575.23
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $170.89 / $170.89 / $170.89	Facility	26	$170.89	$170.89	$170.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.02 / $119.81 / $698.03	Professional		$93.02	$119.81	$698.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.68 / $27.06 / $137.00	Professional	26	$20.68	$27.06	$137.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $46.51 / $59.37 / $59.91	Professional	52	$46.51	$59.37	$59.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.34 / $91.68 / $102.17	Professional	TC	$72.34	$91.68	$102.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.07 / $238.94 / $317.27	Facility		$205.07	$238.94	$317.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.53 / $137.09 / $246.55	Professional		$116.53	$137.09	$246.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.14 / $33.06 / $52.66	Professional	26	$23.14	$33.06	$52.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.81 / $104.03 / $104.03	Professional	TC	$72.81	$104.03	$104.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.44 / $326.44 / $573.86	Facility		$326.44	$326.44	$573.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.49 / $159.79 / $237.05	Professional		$105.49	$159.79	$237.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.94 / $38.96 / $57.18	Professional	26	$25.94	$38.96	$57.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $76.48 / $126.28 / $179.87	Professional	TC	$76.48	$126.28	$179.87
United Facility/Professional Professional Modifier Low / Median / High Price $85.13 / $136.75 / $211.49	Professional		$85.13	$136.75	$211.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.34 / $35.65 / $51.73	Professional	26	$24.34	$35.65	$51.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.98 / $110.25 / $161.12	Professional	TC	$55.98	$110.25	$161.12