Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $384.50 / $384.50 / $534.96	Facility	26	$384.50	$384.50	$534.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.71 / $310.77 / $340.88	Professional		$150.71	$310.77	$340.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.22 / $58.24 / $91.62	Professional	26	$47.22	$58.24	$91.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $103.49 / $219.15 / $273.24	Professional	TC	$103.49	$219.15	$273.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.39 / $255.75 / $437.77	Professional		$217.39	$255.75	$437.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.10 / $85.85 / $119.14	Professional	26	$60.10	$85.85	$119.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $118.93 / $169.90 / $169.90	Professional	TC	$118.93	$169.90	$169.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.68 / $367.05 / $447.95	Professional		$173.68	$367.05	$447.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.53 / $121.75 / $128.66	Professional	26	$55.53	$121.75	$128.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $115.11 / $245.31 / $325.97	Professional	TC	$115.11	$245.31	$325.97
United Facility/Professional Professional Modifier Low / Median / High Price $194.16 / $292.64 / $410.62	Professional		$194.16	$292.64	$410.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.95 / $80.25 / $128.12	Professional	26	$56.95	$80.25	$128.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.72 / $184.54 / $317.95	Professional	TC	$128.72	$184.54	$317.95