Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.34 / $372.60 / $1,048.57	Facility		$106.34	$372.60	$1,048.57
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.44 / $33.44 / $34.04	Facility	26	$33.44	$33.44	$34.04
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $296.58 / $427.57 / $554.83	Facility	TC	$296.58	$427.57	$554.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.08 / $135.11 / $149.78	Professional		$83.08	$135.11	$149.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.67 / $39.44 / $85.62	Professional	26	$31.67	$39.44	$85.62
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $41.54 / $67.67 / $74.89	Professional	52	$41.54	$67.67	$74.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.04 / $88.53 / $114.58	Professional	TC	$55.04	$88.53	$114.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.00 / $459.00 / $459.00	Professional		$279.00	$459.00	$459.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.00 / $146.00 / $146.00	Professional	26	$89.00	$146.00	$146.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.00 / $313.00 / $313.00	Professional	TC	$190.00	$313.00	$313.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.57 / $172.40 / $337.39	Professional		$110.57	$172.40	$337.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.54 / $54.83 / $97.10	Professional	26	$35.54	$54.83	$97.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.03 / $117.57 / $215.46	Professional	TC	$75.03	$117.57	$215.46
United Facility/Professional Professional Modifier Low / Median / High Price $134.21 / $222.20 / $453.71	Professional		$134.21	$222.20	$453.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.08 / $72.43 / $133.90	Professional	26	$36.08	$72.43	$133.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.51 / $149.77 / $319.81	Professional	TC	$97.51	$149.77	$319.81