Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $365.30 / $365.30 / $365.30	Facility	26	$365.30	$365.30	$365.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.30 / $495.17 / $600.00	Professional		$262.30	$495.17	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $140.00 / $180.00	Professional	26	$62.50	$140.00	$180.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $187.50 / $348.53 / $420.00	Professional	TC	$187.50	$348.53	$420.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.29 / $319.16 / $924.77	Professional		$271.29	$319.16	$924.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.79 / $81.13 / $112.59	Professional	26	$56.79	$81.13	$112.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $166.62 / $238.03 / $266.55	Professional	TC	$166.62	$238.03	$266.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.13 / $458.42 / $710.79	Professional		$275.13	$458.42	$710.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.18 / $114.33 / $122.23	Professional	26	$52.18	$114.33	$122.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $205.20 / $344.09 / $562.67	Professional	TC	$205.20	$344.09	$562.67
United Facility/Professional Professional Modifier Low / Median / High Price $259.77 / $417.76 / $662.81	Professional		$259.77	$417.76	$662.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.47 / $70.23 / $120.28	Professional	26	$53.47	$70.23	$120.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $187.69 / $276.89 / $501.54	Professional	TC	$187.69	$276.89	$501.54