Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $64.57 / $169.82	Facility	26	$40.74	$64.57	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $331.13	Professional		$109.65	$154.88	$331.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $61.66 / $128.82	Professional	26	$33.11	$61.66	$128.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $104.71 / $213.80	Professional	TC	$77.62	$104.71	$213.80
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $37.15 / $37.15	Facility	26	$37.15	$37.15	$37.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $302.00	Professional		$109.65	$154.88	$302.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $47.86 / $91.20	Professional	26	$32.36	$47.86	$91.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $109.65 / $213.80	Professional	TC	$72.44	$109.65	$213.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $63.10 / $154.88	Facility	26	$12.02	$63.10	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $398.11	Professional		$112.20	$190.55	$398.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $53.70 / $125.89	Professional	26	$33.11	$53.70	$125.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $144.54 / $295.12	Professional	TC	$79.43	$144.54	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $302.00	Professional		$109.65	$154.88	$302.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $50.12 / $95.50	Professional	26	$31.62	$50.12	$95.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $112.20 / $213.80	Professional	TC	$77.62	$112.20	$213.80