Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $126.04 / $126.04 / $126.04	Facility	26	$126.04	$126.04	$126.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $78.55 / $94.70	Professional		$64.26	$78.55	$94.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.13 / $18.92 / $30.95	Professional	26	$15.13	$18.92	$30.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.12 / $59.64 / $75.54	Professional	TC	$49.12	$59.64	$75.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.54 / $123.39 / $254.88	Professional		$106.54	$123.39	$254.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $24.83 / $27.62	Professional	26	$17.38	$24.83	$27.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.01 / $98.58 / $100.54	Professional	TC	$69.01	$98.58	$100.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.84 / $149.58 / $201.05	Professional		$88.84	$149.58	$201.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.37 / $29.95 / $42.18	Professional	26	$17.37	$29.95	$42.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.09 / $119.63 / $162.25	Professional	TC	$67.09	$119.63	$162.25
United Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $118.50 / $230.84	Professional		$72.98	$118.50	$230.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.34 / $25.02 / $42.38	Professional	26	$18.34	$25.02	$42.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.35 / $92.20 / $195.04	Professional	TC	$56.35	$92.20	$195.04