Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.40 / $52.23 / $98.00	Facility	26	$40.40	$52.23	$98.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.76 / $92.40 / $275.00	Professional		$73.76	$92.40	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.07 / $40.09 / $130.08	Professional	26	$34.07	$40.09	$130.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.54 / $51.12 / $119.70	Professional	TC	$35.54	$51.12	$119.70
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $42.50 / $42.50 / $42.50	Facility	26	$42.50	$42.50	$42.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $104.60 / $216.11	Professional		$66.70	$104.60	$216.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.22 / $49.58 / $82.49	Professional	26	$36.22	$49.58	$82.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.93 / $47.61 / $110.10	Professional	TC	$29.93	$47.61	$110.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.19 / $43.19 / $43.19	Facility	26	$43.19	$43.19	$43.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $119.23 / $222.84	Professional		$70.62	$119.23	$222.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.93 / $53.99 / $87.57	Professional	26	$33.93	$53.99	$87.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.00 / $62.42 / $140.53	Professional	TC	$33.00	$62.42	$140.53
United Facility/Professional Professional Modifier Low / Median / High Price $65.55 / $99.74 / $187.94	Professional		$65.55	$99.74	$187.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.65 / $46.58 / $84.74	Professional	26	$34.65	$46.58	$84.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.23 / $48.72 / $115.83	Professional	TC	$29.23	$48.72	$115.83