Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $694.26 / $694.26 / $694.26	Facility	26	$694.26	$694.26	$694.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.74 / $531.57 / $799.88	Professional		$351.74	$531.57	$799.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $115.26 / $151.58 / $582.97	Professional	26	$115.26	$151.58	$582.97
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $175.87 / $265.79 / $300.00	Professional	52	$175.87	$265.79	$300.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $236.47 / $379.99 / $420.00	Professional	TC	$236.47	$379.99	$420.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.74 / $470.25 / $1,130.68	Professional		$420.74	$470.25	$1,130.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $108.65 / $155.22 / $221.26	Professional	26	$108.65	$155.22	$221.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $220.52 / $315.02 / $356.93	Professional	TC	$220.52	$315.02	$356.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.20 / $675.23 / $1,073.38	Professional		$326.20	$675.23	$1,073.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.93 / $207.56 / $232.30	Professional	26	$99.93	$207.56	$232.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $220.93 / $456.84 / $651.86	Professional	TC	$220.93	$456.84	$651.86
United Facility/Professional Professional Modifier Low / Median / High Price $370.64 / $617.84 / $1,129.47	Professional		$370.64	$617.84	$1,129.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $105.37 / $144.88 / $229.76	Professional	26	$105.37	$144.88	$229.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $215.34 / $361.38 / $833.23	Professional	TC	$215.34	$361.38	$833.23