Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $165.96 / $371.54	Facility	26	$114.82	$165.96	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,479.11	Professional		$549.54	$741.31	$1,479.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $186.21 / $537.03	Professional	26	$112.20	$186.21	$537.03
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $173.78 / $275.42 / $1,202.26	Professional	52	$173.78	$275.42	$1,202.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $446.68 / $588.84 / $1,174.90	Professional	TC	$446.68	$588.84	$1,174.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $691.83 / $1,348.96	Professional		$416.87	$691.83	$1,348.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $141.25 / $309.03	Professional	26	$79.43	$141.25	$309.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $549.54 / $1,096.48	Professional	TC	$354.81	$549.54	$1,096.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $151.36 / $407.38	Facility	26	$28.18	$151.36	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $954.99 / $1,659.59	Professional		$602.56	$954.99	$1,659.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $194.98 / $316.23	Professional	26	$120.23	$194.98	$316.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $489.78 / $776.25 / $1,348.96	Professional	TC	$489.78	$776.25	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $1,412.54	Professional		$537.03	$794.33	$1,412.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $162.18 / $288.40	Professional	26	$104.71	$162.18	$288.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $426.58 / $630.96 / $1,148.15	Professional	TC	$426.58	$630.96	$1,148.15