Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.50 / $138.50 / $138.50	Facility	26	$138.50	$138.50	$138.50
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $181.35 / $181.35 / $181.35	Facility	53	$181.35	$181.35	$181.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $781.97 / $906.77 / $1,069.23	Professional		$781.97	$906.77	$1,069.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $116.51 / $138.50 / $207.93	Professional	26	$116.51	$138.50	$207.93
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $390.99 / $453.39 / $534.62	Professional	52	$390.99	$453.39	$534.62
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $156.38 / $181.35 / $213.85	Professional	53	$156.38	$181.35	$213.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $661.76 / $768.27 / $904.86	Professional	TC	$661.76	$768.27	$904.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $506.62 / $506.62 / $541.01	Professional		$506.62	$506.62	$541.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $626.34 / $858.00 / $1,012.44	Professional		$626.34	$858.00	$1,012.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.18 / $130.38 / $153.85	Professional	26	$95.18	$130.38	$153.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $531.16 / $727.62 / $858.59	Professional	TC	$531.16	$727.62	$858.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.00 / $917.79 / $2,166.54	Professional		$660.00	$917.79	$2,166.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.98 / $186.23 / $409.70	Professional	26	$108.98	$186.23	$409.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $552.45 / $727.32 / $1,804.94	Professional	TC	$552.45	$727.32	$1,804.94
United Facility/Professional Professional Modifier Low / Median / High Price $649.75 / $870.32 / $1,187.33	Professional		$649.75	$870.32	$1,187.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $105.67 / $145.30 / $224.45	Professional	26	$105.67	$145.30	$224.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $555.79 / $722.38 / $960.95	Professional	TC	$555.79	$722.38	$960.95