Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.69 / $162.69 / $764.69	Facility	26	$162.69	$162.69	$764.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $595.58 / $734.13 / $957.08	Professional		$595.58	$734.13	$957.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $116.86 / $142.31 / $286.60	Professional	26	$116.86	$142.31	$286.60
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $292.14 / $335.49 / $478.54	Professional	52	$292.14	$335.49	$478.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $476.14 / $610.94 / $794.38	Professional	TC	$476.14	$610.94	$794.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.45 / $725.23 / $1,145.20	Professional		$616.45	$725.23	$1,145.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $92.30 / $131.86 / $144.97	Professional	26	$92.30	$131.86	$144.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $415.36 / $593.37 / $593.37	Professional	TC	$415.36	$593.37	$593.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.91 / $892.13 / $1,741.77	Professional		$663.91	$892.13	$1,741.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.72 / $150.62 / $311.83	Professional	26	$125.72	$150.62	$311.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $538.19 / $741.51 / $1,429.51	Professional	TC	$538.19	$741.51	$1,429.51
United Facility/Professional Professional Modifier Low / Median / High Price $610.12 / $892.75 / $1,084.66	Professional		$610.12	$892.75	$1,084.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $126.34 / $173.85 / $232.73	Professional	26	$126.34	$173.85	$232.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $517.66 / $722.75 / $871.87	Professional	TC	$517.66	$722.75	$871.87