Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $160.31 / $160.31 / $160.31	Facility	26	$160.31	$160.31	$160.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $42.46 / $70.64	Professional		$36.67	$42.46	$70.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.20 / $25.78 / $35.74	Professional	26	$22.20	$25.78	$35.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.46 / $16.67 / $41.54	Professional	TC	$14.46	$16.67	$41.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.91 / $70.48 / $73.64	Professional		$59.91	$70.48	$73.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.59 / $29.41 / $29.41	Professional	26	$20.59	$29.41	$29.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.74 / $41.06 / $41.06	Professional	TC	$28.74	$41.06	$41.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.45 / $88.50 / $130.46	Professional		$46.45	$88.50	$130.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.68 / $41.01 / $53.64	Professional	26	$28.68	$41.01	$53.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.77 / $50.71 / $79.81	Professional	TC	$17.77	$50.71	$79.81
United Facility/Professional Professional Modifier Low / Median / High Price $49.30 / $57.01 / $91.22	Professional		$49.30	$57.01	$91.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.88 / $30.71 / $44.61	Professional	26	$24.88	$30.71	$44.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.34 / $27.79 / $46.61	Professional	TC	$20.34	$27.79	$46.61