Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $107.15 / $263.03	Facility	26	$57.54	$107.15	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $602.56	Professional		$169.82	$275.42	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $64.57 / $151.36	Professional	26	$51.29	$64.57	$151.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $199.53 / $389.05	Professional	TC	$131.83	$199.53	$389.05
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 $208.93 / $323.59 / $645.65	Professional		$208.93	$323.59	$645.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $75.86 / $138.04	Professional	26	$56.23	$75.86	$138.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $239.88 / $524.81	Professional	TC	$151.36	$239.88	$524.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $74.13 / $181.97	Facility	26	$13.80	$74.13	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $371.54 / $676.08	Professional		$194.98	$371.54	$676.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $81.28 / $162.18	Professional	26	$46.77	$81.28	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $281.84 / $537.03	Professional	TC	$141.25	$281.84	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $309.03 / $562.34	Professional		$199.53	$309.03	$562.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $64.57 / $123.03	Professional	26	$48.98	$64.57	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $239.88 / $446.68	Professional	TC	$147.91	$239.88	$446.68