Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.84 / $626.26 / $783.07	Facility		$477.84	$626.26	$783.07
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.21 / $134.21 / $134.21	Facility	26	$134.21	$134.21	$134.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.71 / $178.25 / $235.21	Professional		$143.71	$178.25	$235.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.76 / $28.26 / $43.87	Professional	26	$20.76	$28.26	$43.87
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $66.90 / $89.13 / $109.33	Professional	52	$66.90	$89.13	$109.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $122.95 / $157.09 / $190.39	Professional	TC	$122.95	$157.09	$190.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.69 / $300.25 / $344.89	Facility		$226.69	$300.25	$344.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.16 / $162.55 / $260.72	Professional		$138.16	$162.55	$260.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.07 / $25.83 / $41.06	Professional	26	$18.07	$25.83	$41.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $95.71 / $136.72 / $136.72	Professional	TC	$95.71	$136.72	$136.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $368.05 / $368.05 / $647.01	Facility		$368.05	$368.05	$647.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $163.99 / $292.43	Professional		$129.47	$163.99	$292.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.95 / $25.39 / $46.13	Professional	26	$20.95	$25.39	$46.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $105.96 / $132.90 / $232.08	Professional	TC	$105.96	$132.90	$232.08
United Facility/Professional Professional Modifier Low / Median / High Price $126.70 / $187.11 / $244.08	Professional		$126.70	$187.11	$244.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.01 / $26.57 / $41.95	Professional	26	$21.01	$26.57	$41.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $107.23 / $157.59 / $209.58	Professional	TC	$107.23	$157.59	$209.58