Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $95.50 / $95.50	Facility	26	$95.50	$95.50	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $97.72 / $354.81	Professional		$38.90	$97.72	$354.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $41.69 / $95.50	Professional	26	$18.20	$41.69	$95.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $46.77 / $117.49	Professional	TC	$18.20	$46.77	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $63.10 / $123.03	Professional		$45.71	$63.10	$123.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $28.84 / $38.02	Professional	26	$20.42	$28.84	$38.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $30.20 / $43.65	Professional	TC	$23.44	$30.20	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $91.20 / $158.49	Professional		$47.86	$91.20	$158.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $33.88 / $51.29	Professional	26	$17.38	$33.88	$51.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $48.98 / $89.13	Professional	TC	$24.55	$48.98	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $74.13 / $117.49	Professional		$48.98	$74.13	$117.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $28.18 / $45.71	Professional	26	$17.38	$28.18	$45.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $35.48 / $75.86	Professional	TC	$22.91	$35.48	$75.86