Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $328.96 / $328.96 / $457.68	Facility	26	$328.96	$328.96	$457.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $220.65 / $267.01	Professional		$114.54	$220.65	$267.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.45 / $51.30 / $78.30	Professional	26	$40.45	$51.30	$78.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.09 / $158.41 / $209.52	Professional	TC	$74.09	$158.41	$209.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.69 / $196.11 / $348.13	Professional		$166.69	$196.11	$348.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.38 / $73.40 / $101.27	Professional	26	$51.38	$73.40	$101.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.90 / $122.71 / $122.71	Professional	TC	$85.90	$122.71	$122.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.16 / $281.01 / $355.67	Professional		$132.16	$281.01	$355.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.56 / $98.41 / $110.07	Professional	26	$47.56	$98.41	$110.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.12 / $176.95 / $251.47	Professional	TC	$83.12	$176.95	$251.47
United Facility/Professional Professional Modifier Low / Median / High Price $147.61 / $233.66 / $329.87	Professional		$147.61	$233.66	$329.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.06 / $64.13 / $109.46	Professional	26	$49.06	$64.13	$109.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.69 / $131.41 / $245.02	Professional	TC	$91.69	$131.41	$245.02