Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.33 / $78.33 / $373.69	Facility	26	$78.33	$78.33	$373.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.16 / $461.05 / $667.49	Professional		$369.16	$461.05	$667.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.19 / $59.35 / $85.39	Professional	26	$53.19	$59.35	$85.39
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $184.58 / $214.05 / $333.75	Professional	52	$184.58	$214.05	$333.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $313.45 / $401.68 / $582.10	Professional	TC	$313.45	$401.68	$582.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.82 / $457.44 / $838.61	Professional		$388.82	$457.44	$838.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.14 / $63.05 / $70.23	Professional	26	$44.14	$63.05	$70.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $276.07 / $394.38 / $394.38	Professional	TC	$276.07	$394.38	$394.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.94 / $564.64 / $1,098.86	Professional		$396.94	$564.64	$1,098.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.91 / $71.84 / $149.37	Professional	26	$60.91	$71.84	$149.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $336.02 / $492.80 / $949.50	Professional	TC	$336.02	$492.80	$949.50
United Facility/Professional Professional Modifier Low / Median / High Price $414.67 / $554.65 / $733.96	Professional		$414.67	$554.65	$733.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.49 / $82.36 / $103.98	Professional	26	$58.49	$82.36	$103.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $350.12 / $461.86 / $637.08	Professional	TC	$350.12	$461.86	$637.08