Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.47 / $399.00 / $834.21	Facility		$143.47	$399.00	$834.21
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.35 / $25.46 / $42.39	Facility	26	$22.35	$25.46	$42.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.27 / $178.25 / $302.06	Professional		$120.27	$178.25	$302.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.12 / $23.55 / $47.76	Professional	26	$20.12	$23.55	$47.76
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $59.38 / $70.95 / $109.33	Professional	52	$59.38	$70.95	$109.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $101.50 / $155.68 / $233.42	Professional	TC	$101.50	$155.68	$233.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.52 / $334.51 / $876.00	Facility		$184.52	$334.51	$876.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $24.43 / $24.43 / $24.43	Facility	26	$24.43	$24.43	$24.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.83 / $145.69 / $248.61	Professional		$125.83	$145.69	$248.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.38 / $25.71 / $44.39	Professional	26	$20.38	$25.71	$44.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $104.12 / $124.86 / $232.83	Professional	TC	$104.12	$124.86	$232.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.63 / $311.15 / $533.54	Facility		$161.63	$311.15	$533.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.72 / $24.72 / $24.72	Facility	26	$24.72	$24.72	$24.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.65 / $193.57 / $313.49	Professional		$127.65	$193.57	$313.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.23 / $30.64 / $52.15	Professional	26	$21.23	$30.64	$52.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $106.52 / $166.77 / $268.58	Professional	TC	$106.52	$166.77	$268.58
United Facility/Professional Professional Modifier Low / Median / High Price $126.70 / $184.92 / $289.82	Professional		$126.70	$184.92	$289.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.72 / $28.56 / $52.00	Professional	26	$20.72	$28.56	$52.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $108.53 / $157.59 / $253.90	Professional	TC	$108.53	$157.59	$253.90