Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.24 / $49.24 / $50.16	Facility	26	$49.24	$49.24	$50.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.55 / $176.66 / $278.64	Professional		$126.55	$176.66	$278.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.78 / $52.06 / $281.06	Professional	26	$46.78	$52.06	$281.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $78.25 / $112.89 / $226.59	Professional	TC	$78.25	$112.89	$226.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.00 / $579.00 / $579.00	Professional		$353.00	$579.00	$579.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $132.00 / $216.00 / $216.00	Professional	26	$132.00	$216.00	$216.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $221.00 / $363.00 / $363.00	Professional	TC	$221.00	$363.00	$363.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.18 / $286.77 / $476.49	Professional		$191.18	$286.77	$476.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.67 / $90.21 / $156.27	Professional	26	$59.67	$90.21	$156.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $118.63 / $183.20 / $334.77	Professional	TC	$118.63	$183.20	$334.77
United Facility/Professional Professional Modifier Low / Median / High Price $207.36 / $284.89 / $727.10	Professional		$207.36	$284.89	$727.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.92 / $97.61 / $168.31	Professional	26	$45.92	$97.61	$168.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $142.80 / $177.62 / $558.79	Professional	TC	$142.80	$177.62	$558.79