Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $138.04 / $251.19	Facility	26	$102.33	$138.04	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $1,348.96	Professional		$331.13	$457.09	$1,348.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $125.89 / $398.11	Professional	26	$97.72	$125.89	$398.11
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $151.36 / $302.00 / $398.11	Professional	52	$151.36	$302.00	$398.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $288.40 / $524.81	Professional	TC	$229.09	$288.40	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $831.76	Professional		$288.40	$436.52	$831.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $138.04 / $257.04	Professional	26	$97.72	$138.04	$257.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $309.03 / $602.56	Professional	TC	$186.21	$309.03	$602.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $147.91 / $426.58	Facility	26	$26.30	$147.91	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $1,202.26	Professional		$331.13	$524.81	$1,202.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $165.96 / $346.74	Professional	26	$107.15	$165.96	$346.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $363.08 / $851.14	Professional	TC	$218.78	$363.08	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $794.33	Professional		$288.40	$407.38	$794.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $134.90 / $245.47	Professional	26	$93.33	$134.90	$245.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $275.42 / $549.54	Professional	TC	$190.55	$275.42	$549.54