Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.63 / $56.34 / $67.36	Facility	26	$52.63	$56.34	$67.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.40 / $156.96 / $267.42	Professional		$99.40	$156.96	$267.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.39 / $52.63 / $119.22	Professional	26	$40.39	$52.63	$119.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $90.37 / $200.77	Professional	TC	$46.77	$90.37	$200.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.21 / $118.07 / $131.19	Professional		$89.21	$118.07	$131.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.28 / $58.61 / $65.12	Professional	26	$44.28	$58.61	$65.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.93 / $59.46 / $66.06	Professional	TC	$44.93	$59.46	$66.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $113.22 / $177.98	Professional		$40.72	$113.22	$177.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.21 / $142.55 / $172.52	Professional		$99.21	$142.55	$172.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.75 / $57.93 / $74.73	Professional	26	$42.75	$57.93	$74.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.85 / $79.64 / $111.94	Professional	TC	$53.85	$79.64	$111.94
United Facility/Professional Professional Modifier Low / Median / High Price $87.31 / $119.48 / $284.22	Professional		$87.31	$119.48	$284.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.29 / $51.90 / $78.15	Professional	26	$35.29	$51.90	$78.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.89 / $70.95 / $208.64	Professional	TC	$52.89	$70.95	$208.64