Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $162.18 / $316.23	Facility	26	$112.20	$162.18	$316.23
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility	53	$4,466.84	$4,466.84	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $3,235.94	Professional		$707.95	$1,023.29	$3,235.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $190.55 / $676.08	Professional	26	$107.15	$190.55	$676.08
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $275.42 / $891.25 / $1,479.11	Professional	52	$275.42	$891.25	$1,479.11
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $398.11 / $549.54 / $1,513.56	Professional	53	$398.11	$549.54	$1,513.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $575.44 / $758.58 / $1,445.44	Professional	TC	$575.44	$758.58	$1,445.44
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $162.18 / $162.18	Facility	26	$162.18	$162.18	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,862.09	Professional		$724.44	$1,000.00	$1,862.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $194.98 / $346.74	Professional	26	$102.33	$194.98	$346.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $616.60 / $812.83 / $1,513.56	Professional	TC	$616.60	$812.83	$1,513.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $144.54 / $354.81	Facility	26	$26.92	$144.54	$354.81
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $36.31 / $181.97 / $213.80	Facility	53	$36.31	$181.97	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,174.90 / $2,290.87	Professional		$724.44	$1,174.90	$2,290.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $213.80 / $380.19	Professional	26	$117.49	$213.80	$380.19
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $524.81 / $588.84 / $1,659.59	Professional	53	$524.81	$588.84	$1,659.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $616.60 / $954.99 / $1,949.84	Professional	TC	$616.60	$954.99	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,862.09	Professional		$741.31	$1,023.29	$1,862.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $186.21 / $316.23	Professional	26	$114.82	$186.21	$316.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $616.60 / $851.14 / $1,548.82	Professional	TC	$616.60	$851.14	$1,548.82