Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $211.49 / $211.49 / $211.49	Facility	26	$211.49	$211.49	$211.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.17 / $106.73 / $122.84	Professional		$89.17	$106.73	$122.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.96 / $31.79 / $36.63	Professional	26	$26.96	$31.79	$36.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.21 / $73.65 / $87.37	Professional	TC	$62.21	$73.65	$87.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.18 / $135.34 / $210.09	Professional		$126.18	$135.34	$210.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.62 / $40.89 / $67.11	Professional	26	$28.62	$40.89	$67.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $66.11 / $94.45 / $142.96	Professional	TC	$66.11	$94.45	$142.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $171.54 / $230.06	Professional		$97.44	$171.54	$230.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.89 / $49.36 / $70.77	Professional	26	$28.89	$49.36	$70.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.67 / $122.17 / $165.69	Professional	TC	$68.67	$122.17	$165.69
United Facility/Professional Professional Modifier Low / Median / High Price $98.65 / $138.16 / $206.12	Professional		$98.65	$138.16	$206.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.33 / $44.14 / $70.06	Professional	26	$31.33	$44.14	$70.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.46 / $94.02 / $142.85	Professional	TC	$48.46	$94.02	$142.85