Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,412.54	Professional		$602.56	$794.33	$1,412.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $223.87 / $549.54	Professional	26	$120.23	$223.87	$549.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $371.54 / $371.54 / $371.54	Professional	52	$371.54	$371.54	$371.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $501.19 / $660.69 / $1,258.93	Professional	TC	$501.19	$660.69	$1,258.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $1,047.13	Professional		$549.54	$724.44	$1,047.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $123.03 / $194.98	Professional	26	$93.33	$123.03	$194.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $416.87 / $501.19 / $645.65	Professional	TC	$416.87	$501.19	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,258.93 / $1,737.80	Professional		$660.69	$1,258.93	$1,737.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $229.09 / $316.23	Professional	26	$125.89	$229.09	$316.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $537.03 / $1,023.29 / $1,445.44	Professional	TC	$537.03	$1,023.29	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $1,380.38	Professional		$616.60	$912.01	$1,380.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $186.21 / $269.15	Professional	26	$128.82	$186.21	$269.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $537.03 / $741.31 / $1,096.48	Professional	TC	$537.03	$741.31	$1,096.48