Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.08 / $45.08 / $45.94	Facility	26	$45.08	$45.08	$45.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.47 / $154.33 / $195.76	Professional		$120.47	$154.33	$195.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $46.35 / $241.14	Professional	26	$38.02	$46.35	$241.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $82.45 / $111.43 / $142.21	Professional	TC	$82.45	$111.43	$142.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.00 / $665.00 / $665.00	Professional		$405.00	$665.00	$665.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $120.00 / $196.00 / $196.00	Professional	26	$120.00	$196.00	$196.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $285.00 / $469.00 / $469.00	Professional	TC	$285.00	$469.00	$469.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.79 / $252.54 / $438.70	Professional		$167.79	$252.54	$438.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.26 / $73.87 / $127.77	Professional	26	$52.26	$73.87	$127.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $115.53 / $175.79 / $310.93	Professional	TC	$115.53	$175.79	$310.93
United Facility/Professional Professional Modifier Low / Median / High Price $178.28 / $301.69 / $524.69	Professional		$178.28	$301.69	$524.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.58 / $90.00 / $153.75	Professional	26	$51.58	$90.00	$153.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $126.70 / $210.42 / $372.90	Professional	TC	$126.70	$210.42	$372.90