Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.16 / $82.16 / $150.38	Facility	26	$82.16	$82.16	$150.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.30 / $168.68 / $168.68	Professional		$165.30	$168.68	$168.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.02 / $49.76 / $129.37	Professional	26	$48.02	$49.76	$129.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $115.54 / $120.66 / $120.66	Professional	TC	$115.54	$120.66	$120.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.02 / $389.98 / $389.98	Professional		$365.02	$389.98	$389.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.51 / $62.15 / $86.63	Professional	26	$43.51	$62.15	$86.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $229.48 / $278.66 / $327.83	Professional	TC	$229.48	$278.66	$327.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.80 / $322.41 / $690.91	Professional		$120.80	$322.41	$690.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.69 / $87.99 / $110.34	Professional	26	$32.69	$87.99	$110.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.84 / $230.48 / $589.05	Professional	TC	$83.84	$230.48	$589.05
United Facility/Professional Professional Modifier Low / Median / High Price $103.86 / $430.61 / $638.70	Professional		$103.86	$430.61	$638.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.19 / $82.12 / $103.68	Professional	26	$32.19	$82.12	$103.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $73.26 / $361.12 / $536.58	Professional	TC	$73.26	$361.12	$536.58