Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.10 / $409.04 / $907.39	Facility		$163.10	$409.04	$907.39
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.73 / $54.47 / $86.67	Facility	26	$43.73	$54.47	$86.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.05 / $211.81 / $315.17	Professional		$143.05	$211.81	$315.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.86 / $55.46 / $104.74	Professional	26	$38.86	$55.46	$104.74
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $142.91 / $169.97 / $189.11	Professional	52	$142.91	$169.97	$189.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $103.95 / $143.80 / $196.80	Professional	TC	$103.95	$143.80	$196.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $1,757.00 / $2,831.20	Facility		$445.00	$1,757.00	$2,831.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.05 / $200.48 / $297.48	Professional		$144.05	$200.48	$297.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.63 / $57.31 / $100.42	Professional	26	$39.63	$57.31	$100.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $92.65 / $147.01 / $213.07	Professional	TC	$92.65	$147.01	$213.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.53 / $250.00 / $587.45	Facility		$214.53	$250.00	$587.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.86 / $44.86 / $44.86	Facility	26	$44.86	$44.86	$44.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.50 / $247.21 / $373.52	Professional		$145.50	$247.21	$373.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.17 / $68.75 / $106.41	Professional	26	$41.17	$68.75	$106.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $104.67 / $175.66 / $264.63	Professional	TC	$104.67	$175.66	$264.63
United Facility/Professional Facility Modifier Low / Median / High Price $399.00 / $399.00 / $399.00	Facility		$399.00	$399.00	$399.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.01 / $228.87 / $377.12	Professional		$152.01	$228.87	$377.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.03 / $64.08 / $103.28	Professional	26	$41.03	$64.08	$103.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $112.22 / $170.76 / $278.22	Professional	TC	$112.22	$170.76	$278.22