Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $173.78 / $380.19	Facility	26	$120.23	$173.78	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $1,584.89	Professional		$575.44	$776.25	$1,584.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $181.97 / $537.03	Professional	26	$114.82	$181.97	$537.03
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $190.55 / $263.03 / $1,258.93	Professional	52	$190.55	$263.03	$1,258.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $467.74 / $616.60 / $1,148.15	Professional	TC	$467.74	$616.60	$1,148.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $724.44 / $1,445.44	Professional		$436.52	$724.44	$1,445.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $144.54 / $323.59	Professional	26	$83.18	$144.54	$323.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $371.54 / $602.56 / $1,174.90	Professional	TC	$371.54	$602.56	$1,174.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $158.49 / $426.58	Facility	26	$29.51	$158.49	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,047.13 / $1,737.80	Professional		$645.65	$1,047.13	$1,737.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $208.93 / $331.13	Professional	26	$125.89	$208.93	$331.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $512.86 / $831.76 / $1,445.44	Professional	TC	$512.86	$831.76	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $851.14 / $1,513.56	Professional		$562.34	$851.14	$1,513.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $169.82 / $302.00	Professional	26	$109.65	$169.82	$302.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $457.09 / $676.08 / $1,230.27	Professional	TC	$457.09	$676.08	$1,230.27