Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.93 / $110.93 / $179.69	Facility	26	$110.93	$110.93	$179.69
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $49.83 / $49.83 / $80.59	Facility	53	$49.83	$49.83	$80.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.41 / $330.43 / $509.07	Professional		$244.41	$330.43	$509.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.24 / $116.15 / $294.51	Professional	26	$102.24	$116.15	$294.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $458.30 / $565.55 / $593.12	Professional		$458.30	$565.55	$593.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $205.14 / $253.16 / $264.62	Professional	26	$205.14	$253.16	$264.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.36 / $120.36 / $120.36	Facility	26	$120.36	$120.36	$120.36
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.64 / $52.64 / $52.64	Facility	53	$52.64	$52.64	$52.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.94 / $489.23 / $766.32	Professional		$293.94	$489.23	$766.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $124.31 / $214.57 / $325.95	Professional	26	$124.31	$214.57	$325.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $272.80 / $465.68 / $1,920.39	Professional		$272.80	$465.68	$1,920.39
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $115.39 / $206.83 / $1,030.27	Professional	26	$115.39	$206.83	$1,030.27
United Facility/Professional Professional Modifier Low / Median / High Price $251.18 / $444.59 / $600.16	Professional		$251.18	$444.59	$600.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $112.60 / $199.30 / $265.43	Professional	26	$112.60	$199.30	$265.43