Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $19.95 / $20.32	Facility	26	$19.95	$19.95	$20.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.54 / $63.02 / $78.33	Professional		$49.54	$63.02	$78.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.72 / $19.57 / $23.58	Professional	26	$16.72	$19.57	$23.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.82 / $43.42 / $56.54	Professional	TC	$32.82	$43.42	$56.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.00 / $274.00 / $274.00	Professional		$167.00	$274.00	$274.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.00 / $87.00 / $87.00	Professional	26	$53.00	$87.00	$87.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $114.00 / $187.00 / $187.00	Professional	TC	$114.00	$187.00	$187.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.01 / $99.44 / $179.86	Professional		$68.01	$99.44	$179.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.01 / $32.74 / $59.30	Professional	26	$23.01	$32.74	$59.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.59 / $62.50 / $115.35	Professional	TC	$43.59	$62.50	$115.35
United Facility/Professional Professional Modifier Low / Median / High Price $70.80 / $112.82 / $201.31	Professional		$70.80	$112.82	$201.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.76 / $39.70 / $69.30	Professional	26	$22.76	$39.70	$69.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.57 / $72.88 / $132.01	Professional	TC	$47.57	$72.88	$132.01