Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $1,288.25	Professional		$630.96	$794.33	$1,288.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $218.78 / $288.40	Professional	26	$120.23	$218.78	$288.40
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $257.04 / $257.04 / $645.65	Professional	52	$257.04	$257.04	$645.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $512.86 / $660.69 / $1,023.29	Professional	TC	$512.86	$660.69	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $1,174.90	Professional		$954.99	$1,174.90	$1,174.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $173.78 / $213.80 / $213.80	Professional	26	$173.78	$213.80	$213.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $776.25 / $954.99 / $954.99	Professional	TC	$776.25	$954.99	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,412.54	Professional		$851.14	$1,122.02	$1,412.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $165.96 / $213.80 / $275.42	Professional	26	$165.96	$213.80	$275.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $691.83 / $912.01 / $1,148.15	Professional	TC	$691.83	$912.01	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $2,089.30	Professional		$1,000.00	$1,230.27	$2,089.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $199.53 / $229.09 / $416.87	Professional	26	$199.53	$229.09	$416.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $812.83 / $1,000.00 / $1,659.59	Professional	TC	$812.83	$1,000.00	$1,659.59