Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $208.93 / $575.44	Facility	26	$114.82	$208.93	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $912.01	Professional		$281.84	$371.54	$912.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $263.03 / $741.31	Professional	26	$107.15	$263.03	$741.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $245.47 / $549.54	Professional	TC	$181.97	$245.47	$549.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $354.81 / $870.96	Professional		$147.91	$354.81	$870.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $158.49 / $323.59	Professional	26	$61.66	$158.49	$323.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $186.21 / $562.34	Professional	TC	$33.88	$186.21	$562.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $190.55 / $302.00	Facility	26	$38.02	$190.55	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $323.59 / $758.58	Professional		$165.96	$323.59	$758.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $138.04 / $288.40	Professional	26	$66.07	$138.04	$288.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $194.98 / $524.81	Professional	TC	$87.10	$194.98	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $812.83	Professional		$199.53	$346.74	$812.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $138.04 / $302.00	Professional	26	$79.43	$138.04	$302.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $218.78 / $524.81	Professional	TC	$125.89	$218.78	$524.81