Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $305.38 / $305.38 / $305.38	Facility	26	$305.38	$305.38	$305.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $305.82 / $307.42	Professional		$295.12	$305.82	$307.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.79 / $48.83 / $56.19	Professional	26	$44.79	$48.83	$56.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $246.29 / $261.02 / $261.02	Professional	TC	$246.29	$261.02	$261.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.85 / $373.85 / $650.47	Professional		$373.85	$373.85	$650.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.21 / $56.02 / $91.02	Professional	26	$39.21	$56.02	$91.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $222.48 / $317.83 / $317.83	Professional	TC	$222.48	$317.83	$317.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.42 / $719.65 / $726.08	Professional		$389.42	$719.65	$726.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.35 / $96.14 / $102.18	Professional	26	$58.35	$96.14	$102.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $331.07 / $617.47 / $629.94	Professional	TC	$331.07	$617.47	$629.94
United Facility/Professional Professional Modifier Low / Median / High Price $206.26 / $357.65 / $598.46	Professional		$206.26	$357.65	$598.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.18 / $58.67 / $84.98	Professional	26	$37.18	$58.67	$84.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $224.65 / $335.30 / $513.48	Professional	TC	$224.65	$335.30	$513.48