Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $97.72 / $263.03	Facility	26	$57.54	$97.72	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $758.58	Professional		$213.80	$288.40	$758.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $69.18 / $169.82	Professional	26	$51.29	$69.18	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $218.78 / $446.68	Professional	TC	$162.18	$218.78	$446.68
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $64.57 / $64.57	Facility	26	$64.57	$64.57	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $691.83	Professional		$234.42	$338.84	$691.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $75.86 / $138.04	Professional	26	$54.95	$75.86	$138.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $263.03 / $575.44	Professional	TC	$181.97	$263.03	$575.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $74.13 / $181.97	Facility	26	$14.13	$74.13	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $416.87 / $758.58	Professional		$223.87	$416.87	$758.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $81.28 / $165.96	Professional	26	$46.77	$81.28	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $323.59 / $616.60	Professional	TC	$169.82	$323.59	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $616.60	Professional		$229.09	$338.84	$616.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $66.07 / $125.89	Professional	26	$48.98	$66.07	$125.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $269.15 / $489.78	Professional	TC	$177.83	$269.15	$489.78