Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $902.62 / $1,174.30 / $4,572.00	Professional		$902.62	$1,174.30	$4,572.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $170.06 / $187.33 / $1,043.00	Professional	26	$170.06	$187.33	$1,043.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $383.34 / $463.56 / $587.15	Professional	52	$383.34	$463.56	$587.15
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $153.34 / $185.42 / $234.86	Professional	53	$153.34	$185.42	$234.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $653.48 / $767.26 / $966.10	Professional	TC	$653.48	$767.26	$966.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $805.72 / $805.72 / $1,628.17	Professional		$805.72	$805.72	$1,628.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $88.17 / $125.95 / $348.16	Professional	26	$88.17	$125.95	$348.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $475.84 / $679.77 / $884.44	Professional	TC	$475.84	$679.77	$884.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.41 / $1,104.92 / $1,770.35	Professional		$748.41	$1,104.92	$1,770.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.73 / $199.85 / $261.89	Professional	26	$120.73	$199.85	$261.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $637.52 / $928.91 / $1,508.45	Professional	TC	$637.52	$928.91	$1,508.45
United Facility/Professional Professional Modifier Low / Median / High Price $742.57 / $981.45 / $1,472.22	Professional		$742.57	$981.45	$1,472.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $127.29 / $182.26 / $242.55	Professional	26	$127.29	$182.26	$242.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $726.85 / $910.50 / $1,397.05	Professional	TC	$726.85	$910.50	$1,397.05