Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $77.62 / $218.78	Facility	26	$54.95	$77.62	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $275.42 / $954.99	Professional		$144.54	$275.42	$954.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $63.10 / $218.78	Professional	26	$50.12	$63.10	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $181.97 / $436.52	Professional	TC	$102.33	$181.97	$436.52
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $66.07 / $66.07	Facility	26	$66.07	$66.07	$66.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $295.12 / $575.44	Professional		$169.82	$295.12	$575.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $77.62 / $141.25	Professional	26	$54.95	$77.62	$141.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $213.80 / $446.68	Professional	TC	$123.03	$213.80	$446.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.49 / $72.44 / $173.78	Facility	26	$13.49	$72.44	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $316.23 / $575.44	Professional		$165.96	$316.23	$575.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $79.43 / $162.18	Professional	26	$45.71	$79.43	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $223.87 / $436.52	Professional	TC	$112.20	$223.87	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $478.63	Professional		$169.82	$263.03	$478.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $66.07 / $128.82	Professional	26	$48.98	$66.07	$128.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $186.21 / $363.08	Professional	TC	$114.82	$186.21	$363.08