Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.15 / $79.15 / $79.15	Facility	26	$79.15	$79.15	$79.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.29 / $158.91 / $240.03	Professional		$108.29	$158.91	$240.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.34 / $51.33 / $79.15	Professional	26	$35.34	$51.33	$79.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.95 / $107.05 / $160.88	Professional	TC	$72.95	$107.05	$160.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.81 / $140.84 / $166.19	Professional		$102.81	$140.84	$166.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.31 / $47.00 / $55.46	Professional	26	$34.31	$47.00	$55.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.50 / $93.84 / $110.73	Professional	TC	$68.50	$93.84	$110.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.10 / $180.62 / $354.29	Professional		$105.10	$180.62	$354.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.64 / $66.01 / $124.74	Professional	26	$42.64	$66.01	$124.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.19 / $125.28 / $251.24	Professional	TC	$85.19	$125.28	$251.24
United Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $136.80 / $236.88	Professional		$108.00	$136.80	$236.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.64 / $44.80 / $65.72	Professional	26	$34.64	$44.80	$65.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $71.40 / $92.92 / $171.69	Professional	TC	$71.40	$92.92	$171.69