Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.18 / $113.39 / $177.39	Facility	26	$86.18	$113.39	$177.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.56 / $449.16 / $662.26	Professional		$276.56	$449.16	$662.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.87 / $118.59 / $162.59	Professional	26	$70.87	$118.59	$162.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $205.98 / $329.60 / $435.80	Professional	TC	$205.98	$329.60	$435.80
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $77.94 / $77.94 / $77.94	Facility	26	$77.94	$77.94	$77.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.83 / $361.65 / $789.80	Professional		$271.83	$361.65	$789.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.45 / $90.30 / $153.05	Professional	26	$67.45	$90.30	$153.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $203.83 / $279.25 / $622.42	Professional	TC	$203.83	$279.25	$622.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.91 / $79.91 / $79.91	Facility	26	$79.91	$79.91	$79.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.77 / $505.00 / $831.63	Professional		$270.77	$505.00	$831.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.21 / $99.51 / $170.71	Professional	26	$62.21	$99.51	$170.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $202.34 / $399.22 / $647.00	Professional	TC	$202.34	$399.22	$647.00
United Facility/Professional Professional Modifier Low / Median / High Price $280.33 / $433.48 / $741.69	Professional		$280.33	$433.48	$741.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.91 / $85.04 / $163.16	Professional	26	$63.91	$85.04	$163.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $210.37 / $332.45 / $590.21	Professional	TC	$210.37	$332.45	$590.21