Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $25.12 / $61.66	Facility	26	$16.98	$25.12	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $85.11 / $251.19	Professional		$48.98	$85.11	$251.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $28.84 / $81.28	Professional	26	$16.60	$28.84	$81.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $42.66 / $97.72	Professional	TC	$30.20	$42.66	$97.72
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $19.05 / $19.05	Facility	26	$19.05	$19.05	$19.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $83.18 / $162.18	Professional		$46.77	$83.18	$162.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $26.30 / $50.12	Professional	26	$17.38	$26.30	$50.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $61.66 / $114.82	Professional	TC	$33.11	$61.66	$114.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.27 / $22.91 / $53.70	Facility	26	$4.27	$22.91	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $87.10 / $162.18	Professional		$51.29	$87.10	$162.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $26.92 / $52.48	Professional	26	$18.20	$26.92	$52.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $60.26 / $109.65	Professional	TC	$35.48	$60.26	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $72.44 / $131.83	Professional		$47.86	$72.44	$131.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $22.39 / $39.81	Professional	26	$16.22	$22.39	$39.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $47.86 / $91.20	Professional	TC	$30.90	$47.86	$91.20