Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.13 / $83.00 / $136.55	Facility	26	$61.13	$83.00	$136.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.45 / $295.58 / $468.49	Professional		$206.45	$295.58	$468.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $65.95 / $124.65	Professional	26	$55.00	$65.95	$124.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $148.76 / $218.83 / $375.83	Professional	TC	$148.76	$218.83	$375.83
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $76.50 / $76.50 / $76.50	Facility	26	$76.50	$76.50	$76.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.32 / $331.04 / $640.33	Professional		$229.32	$331.04	$640.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.08 / $86.03 / $146.21	Professional	26	$62.08	$86.03	$146.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $167.24 / $249.83 / $484.88	Professional	TC	$167.24	$249.83	$484.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.70 / $68.70 / $68.70	Facility	26	$68.70	$68.70	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.66 / $407.13 / $685.25	Professional		$215.66	$407.13	$685.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.96 / $91.32 / $154.38	Professional	26	$55.96	$91.32	$154.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.90 / $308.92 / $527.76	Professional	TC	$162.90	$308.92	$527.76
United Facility/Professional Professional Modifier Low / Median / High Price $226.39 / $341.66 / $594.59	Professional		$226.39	$341.66	$594.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.03 / $77.09 / $142.12	Professional	26	$58.03	$77.09	$142.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $166.07 / $265.44 / $455.54	Professional	TC	$166.07	$265.44	$455.54