Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $122.43 / $147.33 / $261.48	Facility	26	$122.43	$147.33	$261.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.87 / $720.28 / $1,138.79	Professional		$555.87	$720.28	$1,138.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.15 / $132.51 / $431.54	Professional	26	$111.15	$132.51	$431.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $273.83 / $320.01 / $436.46	Professional	52	$273.83	$320.01	$436.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $451.13 / $602.07 / $912.73	Professional	TC	$451.13	$602.07	$912.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $547.55 / $713.70 / $1,154.43	Professional		$547.55	$713.70	$1,154.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.85 / $142.22 / $232.46	Professional	26	$102.85	$142.22	$232.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $404.48 / $568.27 / $946.04	Professional	TC	$404.48	$568.27	$946.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $133.97 / $133.97 / $133.97	Facility	26	$133.97	$133.97	$133.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.87 / $922.90 / $1,585.49	Professional		$627.87	$922.90	$1,585.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $123.50 / $186.60 / $299.61	Professional	26	$123.50	$186.60	$299.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $500.10 / $735.54 / $1,226.01	Professional	TC	$500.10	$735.54	$1,226.01
United Facility/Professional Professional Modifier Low / Median / High Price $581.71 / $839.68 / $1,361.33	Professional		$581.71	$839.68	$1,361.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $112.06 / $170.89 / $289.39	Professional	26	$112.06	$170.89	$289.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $466.41 / $674.24 / $1,115.46	Professional	TC	$466.41	$674.24	$1,115.46