Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $633.16 / $648.05 / $1,011.54	Professional		$633.16	$648.05	$1,011.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $126.32 / $253.15 / $505.95	Professional	26	$126.32	$253.15	$505.95
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $316.58 / $324.02 / $399.19	Professional	52	$316.58	$324.02	$399.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $506.85 / $506.85 / $655.83	Professional	TC	$506.85	$506.85	$655.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $951.00 / $1,172.00 / $1,172.00	Professional		$951.00	$1,172.00	$1,172.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $175.00 / $216.00 / $216.00	Professional	26	$175.00	$216.00	$216.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $776.00 / $956.00 / $956.00	Professional	TC	$776.00	$956.00	$956.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $856.26 / $1,028.99 / $1,392.94	Professional		$856.26	$1,028.99	$1,392.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $166.85 / $204.51 / $258.83	Professional	26	$166.85	$204.51	$258.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $681.38 / $839.18 / $1,116.14	Professional	TC	$681.38	$839.18	$1,116.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,006.88 / $1,213.42 / $2,076.44	Professional		$1,006.88	$1,213.42	$2,076.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $200.48 / $241.60 / $413.44	Professional	26	$200.48	$241.60	$413.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $806.40 / $971.82 / $1,663.01	Professional	TC	$806.40	$971.82	$1,663.01