Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $155.49 / $155.49 / $736.92	Facility	26	$155.49	$155.49	$736.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.67 / $680.08 / $890.30	Professional		$563.67	$680.08	$890.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.17 / $144.25 / $281.52	Professional	26	$110.17	$144.25	$281.52
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $277.83 / $320.01 / $445.15	Professional	52	$277.83	$320.01	$445.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $451.82 / $562.25 / $731.06	Professional	TC	$451.82	$562.25	$731.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.64 / $692.52 / $1,091.65	Professional		$588.64	$692.52	$1,091.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $88.55 / $126.50 / $139.75	Professional	26	$88.55	$126.50	$139.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $396.21 / $566.02 / $566.02	Professional	TC	$396.21	$566.02	$566.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $635.95 / $851.82 / $1,663.16	Professional		$635.95	$851.82	$1,663.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $121.19 / $144.52 / $299.61	Professional	26	$121.19	$144.52	$299.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $514.75 / $707.30 / $1,360.08	Professional	TC	$514.75	$707.30	$1,360.08
United Facility/Professional Professional Modifier Low / Median / High Price $583.97 / $858.00 / $1,038.16	Professional		$583.97	$858.00	$1,038.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $121.75 / $173.95 / $216.85	Professional	26	$121.75	$173.95	$216.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $496.59 / $690.78 / $833.10	Professional	TC	$496.59	$690.78	$833.10