Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.95 / $62.10 / $96.98	Facility	26	$50.95	$62.10	$96.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.92 / $215.98 / $363.48	Professional		$177.92	$215.98	$363.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.85 / $50.51 / $79.41	Professional	26	$43.85	$50.51	$79.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.54 / $164.46 / $234.35	Professional	TC	$131.54	$164.46	$234.35
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $58.85 / $58.85 / $58.85	Facility	26	$58.85	$58.85	$58.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.92 / $270.83 / $440.69	Professional		$203.92	$270.83	$440.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.14 / $64.39 / $111.83	Professional	26	$50.14	$64.39	$111.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $153.13 / $212.60 / $332.61	Professional	TC	$153.13	$212.60	$332.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.80 / $59.80 / $59.80	Facility	26	$59.80	$59.80	$59.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $309.89 / $565.22	Professional		$195.00	$309.89	$565.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.76 / $74.05 / $123.52	Professional	26	$46.76	$74.05	$123.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $145.27 / $229.83 / $399.88	Professional	TC	$145.27	$229.83	$399.88
United Facility/Professional Professional Modifier Low / Median / High Price $200.63 / $267.37 / $472.06	Professional		$200.63	$267.37	$472.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.47 / $62.87 / $119.01	Professional	26	$48.47	$62.87	$119.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $152.16 / $203.36 / $355.54	Professional	TC	$152.16	$203.36	$355.54