Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $132.19 / $142.86 / $214.29	Facility	26	$132.19	$142.86	$214.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.04 / $408.04 / $585.84	Professional		$300.04	$408.04	$585.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.68 / $142.86 / $142.86	Professional	26	$99.68	$142.86	$142.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $198.49 / $265.17 / $311.01	Professional	TC	$198.49	$265.17	$311.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.29 / $434.50 / $434.50	Professional		$328.29	$434.50	$434.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.21 / $126.02 / $126.02	Professional	26	$95.21	$126.02	$126.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $233.08 / $308.48 / $308.48	Professional	TC	$233.08	$308.48	$308.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.03 / $261.87 / $459.70	Professional		$124.03	$261.87	$459.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.14 / $526.38 / $664.55	Professional		$406.14	$526.38	$664.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $145.74 / $182.87 / $223.67	Professional	26	$145.74	$182.87	$223.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $259.36 / $351.09 / $467.63	Professional	TC	$259.36	$351.09	$467.63
United Facility/Professional Professional Modifier Low / Median / High Price $280.43 / $360.97 / $671.03	Professional		$280.43	$360.97	$671.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $94.82 / $116.45 / $219.00	Professional	26	$94.82	$116.45	$219.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $183.72 / $271.20 / $464.40	Professional	TC	$183.72	$271.20	$464.40