Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $204.17 / $204.17 / $204.17	Facility	26	$204.17	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $588.84	Professional		$100.00	$181.97	$588.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $41.69 / $147.91	Professional	26	$36.31	$41.69	$147.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $120.23 / $331.13	Professional	TC	$64.57	$120.23	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $288.40	Professional		$117.49	$158.49	$288.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $51.29 / $83.18	Professional	26	$40.74	$51.29	$83.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $85.11 / $114.82	Professional	TC	$69.18	$85.11	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $223.87 / $338.84	Professional		$95.50	$223.87	$338.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $79.43 / $89.13	Professional	26	$33.88	$79.43	$89.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $144.54 / $257.04	Professional	TC	$64.57	$144.54	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $263.03	Professional		$117.49	$177.83	$263.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $48.98 / $79.43	Professional	26	$37.15	$48.98	$79.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $109.65 / $186.21	Professional	TC	$72.44	$109.65	$186.21