Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $131.83 / $131.83 / $131.83	Facility	26	$131.83	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $79.43 / $269.15	Professional		$36.31	$79.43	$269.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $41.69 / $83.18	Professional	26	$21.88	$41.69	$83.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $46.77 / $81.28	Professional	TC	$12.88	$46.77	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $131.83	Professional		$34.67	$48.98	$131.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $28.18 / $52.48	Professional	26	$19.95	$28.18	$52.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $15.49 / $38.02	Professional	TC	$14.45	$15.49	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $100.00 / $162.18	Professional		$51.29	$100.00	$162.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $50.12 / $66.07	Professional	26	$29.51	$50.12	$66.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $41.69 / $109.65	Professional	TC	$21.38	$41.69	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $77.62 / $102.33	Professional		$47.86	$77.62	$102.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $30.90 / $40.74	Professional	26	$23.44	$30.90	$40.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $39.81 / $67.61	Professional	TC	$19.50	$39.81	$67.61