Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.80 / $52.80 / $53.81	Facility	26	$52.80	$52.80	$53.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.41 / $220.58 / $358.15	Professional		$158.41	$220.58	$358.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.45 / $54.33 / $133.27	Professional	26	$51.45	$54.33	$133.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $106.96 / $154.96 / $298.43	Professional	TC	$106.96	$154.96	$298.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.00 / $726.00 / $726.00	Professional		$442.00	$726.00	$726.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $141.00 / $231.00 / $231.00	Professional	26	$141.00	$231.00	$231.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $301.00 / $495.00 / $495.00	Professional	TC	$301.00	$495.00	$495.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.26 / $360.20 / $696.01	Professional		$262.26	$360.20	$696.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.42 / $101.99 / $178.52	Professional	26	$67.42	$101.99	$178.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.13 / $273.06 / $473.50	Professional	TC	$186.13	$273.06	$473.50
United Facility/Professional Professional Modifier Low / Median / High Price $265.39 / $384.48 / $921.79	Professional		$265.39	$384.48	$921.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.85 / $112.19 / $201.31	Professional	26	$52.85	$112.19	$201.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $209.99 / $261.19 / $730.38	Professional	TC	$209.99	$261.19	$730.38