Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $151.36 / $275.42 / $275.42	Facility	26	$151.36	$275.42	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $269.15 / $1,047.13	Professional		$154.88	$269.15	$1,047.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $446.68 / $501.19	Professional	26	$89.13	$446.68	$501.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $120.23 / $588.84	Professional	TC	$67.61	$120.23	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $338.84	Professional		$165.96	$234.42	$338.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $117.49 / $223.87	Professional	26	$81.28	$117.49	$223.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $89.13 / $120.23	Professional	TC	$83.18	$89.13	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $323.59 / $416.87	Professional		$128.82	$323.59	$416.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $177.83 / $213.80	Professional	26	$66.07	$177.83	$213.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $144.54 / $229.09	Professional	TC	$63.10	$144.54	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $251.19 / $338.84	Professional		$134.90	$251.19	$338.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $138.04 / $190.55	Professional	26	$72.44	$138.04	$190.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $112.20 / $158.49	Professional	TC	$56.23	$112.20	$158.49