Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $57.54 / $165.96	Facility	26	$40.74	$57.54	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $676.08	Professional		$104.71	$186.21	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $45.71 / $144.54	Professional	26	$36.31	$45.71	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $120.23 / $281.84	Professional	TC	$64.57	$120.23	$281.84
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $45.71 / $45.71	Facility	26	$45.71	$45.71	$45.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $389.05	Professional		$107.15	$190.55	$389.05
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $54.95 / $97.72	Professional	26	$39.81	$54.95	$97.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $138.04 / $302.00	Professional	TC	$69.18	$138.04	$302.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $52.48 / $128.82	Facility	26	$9.77	$52.48	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $208.93 / $380.19	Professional		$97.72	$208.93	$380.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $57.54 / $114.82	Professional	26	$32.36	$57.54	$114.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $134.90 / $275.42	Professional	TC	$63.10	$134.90	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.49 / $302.00	Professional		$100.00	$158.49	$302.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $45.71 / $87.10	Professional	26	$34.67	$45.71	$87.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $102.33 / $218.78	Professional	TC	$63.10	$102.33	$218.78