Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $501.19 / $1,584.89	Facility		$158.49	$501.19	$1,584.89
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $58.88 / $147.91	Facility	26	$41.69	$58.88	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $457.09	Professional		$144.54	$208.93	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $54.95 / $162.18	Professional	26	$38.02	$54.95	$162.18
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $91.20 / $208.93 / $239.88	Professional	52	$91.20	$208.93	$239.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $134.90 / $239.88	Professional	TC	$100.00	$134.90	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,148.15 / $3,235.94	Facility		$251.19	$1,148.15	$3,235.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $354.81	Professional		$141.25	$213.80	$354.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $63.10 / $117.49	Professional	26	$41.69	$63.10	$117.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $158.49 / $257.04	Professional	TC	$93.33	$158.49	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $281.84 / $1,023.29	Facility		$169.82	$281.84	$1,023.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $50.12 / $138.04	Facility	26	$9.55	$50.12	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $263.03 / $416.87	Professional		$144.54	$263.03	$416.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $72.44 / $112.20	Professional	26	$41.69	$72.44	$112.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $190.55 / $302.00	Professional	TC	$102.33	$190.55	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $512.86 / $912.01	Facility		$239.88	$512.86	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $380.19	Professional		$141.25	$213.80	$380.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $58.88 / $102.33	Professional	26	$37.15	$58.88	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $158.49 / $275.42	Professional	TC	$102.33	$158.49	$275.42