Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.80 / $75.28 / $131.11	Facility	26	$58.80	$75.28	$131.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $282.06 / $450.50	Professional		$171.00	$282.06	$450.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $61.64 / $135.22	Professional	26	$52.78	$61.64	$135.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $116.19 / $220.00 / $300.89	Professional	TC	$116.19	$220.00	$300.89
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $64.68 / $64.68 / $64.68	Facility	26	$64.68	$64.68	$64.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.36 / $264.08 / $516.08	Professional		$184.36	$264.08	$516.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.15 / $77.56 / $124.93	Professional	26	$56.15	$77.56	$124.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $129.68 / $193.80 / $390.21	Professional	TC	$129.68	$193.80	$390.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.98 / $65.98 / $65.98	Facility	26	$65.98	$65.98	$65.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.67 / $339.90 / $538.07	Professional		$173.67	$339.90	$538.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.32 / $81.03 / $139.82	Professional	26	$51.32	$81.03	$139.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $116.07 / $250.08 / $409.00	Professional	TC	$116.07	$250.08	$409.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.97 / $276.17 / $473.85	Professional		$178.97	$276.17	$473.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.07 / $69.83 / $125.70	Professional	26	$53.07	$69.83	$125.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $122.77 / $200.88 / $349.83	Professional	TC	$122.77	$200.88	$349.83