Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.50 / $1,010.53 / $1,219.38	Professional		$705.50	$1,010.53	$1,219.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.85 / $161.78 / $207.93	Professional	26	$106.85	$161.78	$207.93
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $352.75 / $362.12 / $609.69	Professional	52	$352.75	$362.12	$609.69
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $141.10 / $144.85 / $243.88	Professional	53	$141.10	$144.85	$243.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $597.53 / $802.61 / $1,057.59	Professional	TC	$597.53	$802.61	$1,057.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,064.00 / $1,312.00 / $1,312.00	Professional		$1,064.00	$1,312.00	$1,312.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $160.00 / $198.00 / $198.00	Professional	26	$160.00	$198.00	$198.00
BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $744.80 / $918.40 / $918.40	Professional	53	$744.80	$918.40	$918.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $904.00 / $1,114.00 / $1,114.00	Professional	TC	$904.00	$1,114.00	$1,114.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,008.92 / $1,292.83 / $2,518.60	Professional		$1,008.92	$1,292.83	$2,518.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $187.89 / $255.42 / $460.72	Professional	26	$187.89	$255.42	$460.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $759.29 / $1,064.78 / $1,987.47	Professional	TC	$759.29	$1,064.78	$1,987.47
United Facility/Professional Professional Modifier Low / Median / High Price $1,050.46 / $1,644.67 / $2,814.40	Professional		$1,050.46	$1,644.67	$2,814.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $204.96 / $247.01 / $595.10	Professional	26	$204.96	$247.01	$595.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $910.50 / $1,383.20 / $2,340.81	Professional	TC	$910.50	$1,383.20	$2,340.81