Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.72 / $81.19 / $132.01	Facility	26	$59.72	$81.19	$132.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.99 / $300.00 / $463.25	Professional		$189.99	$300.00	$463.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $59.84 / $99.77	Professional	26	$52.78	$59.84	$99.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $137.32 / $223.13 / $388.52	Professional	TC	$137.32	$223.13	$388.52
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 $212.25 / $303.06 / $595.23	Professional		$212.25	$303.06	$595.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.82 / $77.36 / $123.83	Professional	26	$55.82	$77.36	$123.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $153.05 / $233.55 / $459.47	Professional	TC	$153.05	$233.55	$459.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.64 / $65.64 / $65.64	Facility	26	$65.64	$65.64	$65.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.64 / $387.11 / $630.90	Professional		$199.64	$387.11	$630.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.04 / $80.53 / $136.47	Professional	26	$51.04	$80.53	$136.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $143.37 / $297.55 / $503.75	Professional	TC	$143.37	$297.55	$503.75
United Facility/Professional Professional Modifier Low / Median / High Price $212.34 / $322.69 / $550.88	Professional		$212.34	$322.69	$550.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.76 / $72.17 / $143.57	Professional	26	$52.76	$72.17	$143.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.97 / $256.23 / $430.48	Professional	TC	$151.97	$256.23	$430.48