Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $104.71 / $104.71	Facility	26	$57.54	$104.71	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $269.15 / $707.95	Professional		$158.49	$269.15	$707.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $95.50 / $309.03	Professional	26	$33.11	$95.50	$309.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $229.09 / $602.56	Professional	TC	$123.03	$229.09	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $371.54	Professional		$190.55	$275.42	$371.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $30.20 / $58.88	Professional	26	$28.18	$30.20	$58.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $173.78 / $234.42	Professional	TC	$162.18	$173.78	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $309.03 / $489.78	Professional		$154.88	$309.03	$489.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $61.66 / $74.13	Professional	26	$22.39	$61.66	$74.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $245.47 / $416.87	Professional	TC	$134.90	$245.47	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $346.74 / $537.03	Professional		$100.00	$346.74	$537.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $47.86 / $70.79	Professional	26	$21.88	$47.86	$70.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $275.42 / $467.74	Professional	TC	$79.43	$275.42	$467.74