Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.62 / $102.85 / $102.85	Professional		$83.62	$102.85	$102.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.72 / $56.88 / $56.88	Professional	26	$56.72	$56.88	$56.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.89 / $45.97 / $45.97	Professional	TC	$26.89	$45.97	$45.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $175.00 / $175.00	Professional		$141.00	$175.00	$175.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.00 / $98.00 / $98.00	Professional	26	$79.00	$98.00	$98.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $62.00 / $77.00 / $77.00	Professional	TC	$62.00	$77.00	$77.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.33 / $119.81 / $169.70	Professional		$107.33	$119.81	$169.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.42 / $81.72 / $117.86	Professional	26	$75.42	$81.72	$117.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.31 / $34.85 / $73.14	Professional	TC	$28.31	$34.85	$73.14
United Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $161.19 / $300.26	Professional		$117.00	$161.19	$300.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.16 / $102.93 / $191.72	Professional	26	$78.16	$102.93	$191.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.26 / $54.51 / $89.69	Professional	TC	$37.26	$54.51	$89.69