Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $202.98 / $202.98 / $202.98	Facility	26	$202.98	$202.98	$202.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.91 / $132.03 / $616.00	Professional		$73.91	$132.03	$616.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.86 / $34.36 / $175.28	Professional	26	$24.86	$34.36	$175.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.06 / $96.81 / $107.91	Professional	TC	$49.06	$96.81	$107.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.88 / $177.50 / $178.61	Professional		$150.88	$177.50	$178.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.85 / $39.79 / $64.52	Professional	26	$27.85	$39.79	$64.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $96.40 / $137.71 / $137.71	Professional	TC	$96.40	$137.71	$137.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.07 / $246.74 / $373.65	Professional		$99.07	$246.74	$373.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.16 / $47.40 / $67.92	Professional	26	$31.16	$47.40	$67.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $231.49 / $320.41	Professional	TC	$67.61	$231.49	$320.41
United Facility/Professional Professional Modifier Low / Median / High Price $99.01 / $172.81 / $347.74	Professional		$99.01	$172.81	$347.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.41 / $42.36 / $61.45	Professional	26	$31.41	$42.36	$61.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.53 / $150.71 / $295.19	Professional	TC	$79.53	$150.71	$295.19