Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $444.25 / $444.25 / $444.25	Facility	26	$444.25	$444.25	$444.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.19 / $512.74 / $1,253.75	Professional		$412.19	$512.74	$1,253.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.75 / $140.00 / $180.00	Professional	26	$73.75	$140.00	$180.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $126.45 / $256.37 / $300.00	Professional	52	$126.45	$256.37	$300.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $199.20 / $415.86 / $502.50	Professional	TC	$199.20	$415.86	$502.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.97 / $336.44 / $854.71	Professional		$285.97	$336.44	$854.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.16 / $98.80 / $138.43	Professional	26	$69.16	$98.80	$138.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $166.34 / $237.63 / $272.86	Professional	TC	$166.34	$237.63	$272.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.14 / $486.42 / $694.72	Professional		$283.14	$486.42	$694.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.81 / $135.00 / $148.63	Professional	26	$63.81	$135.00	$148.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.86 / $346.30 / $545.35	Professional	TC	$204.86	$346.30	$545.35
United Facility/Professional Professional Modifier Low / Median / High Price $281.54 / $412.75 / $582.71	Professional		$281.54	$412.75	$582.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.81 / $92.72 / $154.78	Professional	26	$63.81	$92.72	$154.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.53 / $286.99 / $497.57	Professional	TC	$194.53	$286.99	$497.57