Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $606.53 / $720.28 / $968.94	Professional		$606.53	$720.28	$968.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $119.93 / $121.75 / $1,498.65	Professional	26	$119.93	$121.75	$1,498.65
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $303.27 / $310.39 / $381.18	Professional	52	$303.27	$310.39	$381.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $484.78 / $500.84 / $625.59	Professional	TC	$484.78	$500.84	$625.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $910.00 / $1,122.00 / $1,122.00	Professional		$910.00	$1,122.00	$1,122.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $169.00 / $208.00 / $208.00	Professional	26	$169.00	$208.00	$208.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $741.00 / $914.00 / $914.00	Professional	TC	$741.00	$914.00	$914.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.25 / $984.30 / $1,333.20	Professional		$815.25	$984.30	$1,333.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $160.62 / $190.03 / $248.74	Professional	26	$160.62	$190.03	$248.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $654.44 / $801.85 / $1,066.48	Professional	TC	$654.44	$801.85	$1,066.48
United Facility/Professional Professional Modifier Low / Median / High Price $725.48 / $1,161.45 / $1,987.52	Professional		$725.48	$1,161.45	$1,987.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $193.20 / $232.83 / $398.43	Professional	26	$193.20	$232.83	$398.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $770.55 / $928.62 / $1,589.09	Professional	TC	$770.55	$928.62	$1,589.09