Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $365.30 / $365.30 / $365.30	Facility	26	$365.30	$365.30	$365.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $194.35 / $197.13	Professional		$155.75	$194.35	$197.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $56.22 / $70.77	Professional	26	$53.70	$56.22	$70.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $102.06 / $123.58 / $140.91	Professional	TC	$102.06	$123.58	$140.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.25 / $209.70 / $440.73	Professional		$178.25	$209.70	$440.73
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.15 / $71.64 / $109.21	Professional	26	$50.15	$71.64	$109.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $96.64 / $138.06 / $138.06	Professional	TC	$96.64	$138.06	$138.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.02 / $367.09 / $688.91	Professional		$271.02	$367.09	$688.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.10 / $70.93 / $125.61	Professional	26	$57.10	$70.93	$125.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $219.23 / $295.44 / $523.66	Professional	TC	$219.23	$295.44	$523.66
United Facility/Professional Professional Modifier Low / Median / High Price $267.56 / $332.26 / $577.79	Professional		$267.56	$332.26	$577.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.70 / $68.09 / $107.37	Professional	26	$56.70	$68.09	$107.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.55 / $282.16 / $470.28	Professional	TC	$199.55	$282.16	$470.28