Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $46.77 / $123.03	Facility	26	$31.62	$46.77	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $158.49 / $478.63	Professional		$81.28	$158.49	$478.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $64.57 / $158.49	Professional	26	$32.36	$64.57	$158.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $69.18 / $208.93	Professional	TC	$46.77	$69.18	$208.93
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $40.74 / $40.74	Facility	26	$40.74	$40.74	$40.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $199.53	Professional		$87.10	$114.82	$199.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $46.77 / $77.62	Professional	26	$34.67	$46.77	$77.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $69.18 / $120.23	Professional	TC	$52.48	$69.18	$120.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.71 / $46.77 / $114.82	Facility	26	$8.71	$46.77	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $128.82 / $251.19	Professional		$77.62	$128.82	$251.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $48.98 / $95.50	Professional	26	$30.20	$48.98	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $79.43 / $154.88	Professional	TC	$47.86	$79.43	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $190.55	Professional		$77.62	$104.71	$190.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $39.81 / $74.13	Professional	26	$29.51	$39.81	$74.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $64.57 / $117.49	Professional	TC	$47.86	$64.57	$117.49