Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $126.56 / $153.28 / $281.39	Facility	26	$126.56	$153.28	$281.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $589.29 / $777.87 / $1,240.79	Professional		$589.29	$777.87	$1,240.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $116.66 / $137.93 / $349.98	Professional	26	$116.66	$137.93	$349.98
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $276.43 / $333.49 / $467.76	Professional	52	$276.43	$333.49	$467.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $472.44 / $651.33 / $958.97	Professional	TC	$472.44	$651.33	$958.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.90 / $748.71 / $1,238.76	Professional		$572.90	$748.71	$1,238.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $106.99 / $148.00 / $241.43	Professional	26	$106.99	$148.00	$241.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $423.31 / $600.97 / $1,009.44	Professional	TC	$423.31	$600.97	$1,009.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $139.38 / $139.38 / $139.38	Facility	26	$139.38	$139.38	$139.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $657.67 / $989.68 / $1,694.93	Professional		$657.67	$989.68	$1,694.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.86 / $196.32 / $317.56	Professional	26	$128.86	$196.32	$317.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $526.79 / $799.67 / $1,287.68	Professional	TC	$526.79	$799.67	$1,287.68
United Facility/Professional Professional Modifier Low / Median / High Price $608.79 / $892.75 / $1,471.11	Professional		$608.79	$892.75	$1,471.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $120.60 / $180.74 / $289.06	Professional	26	$120.60	$180.74	$289.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $491.01 / $722.75 / $1,172.20	Professional	TC	$491.01	$722.75	$1,172.20