Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.13 / $42.97 / $71.01	Facility	26	$38.13	$42.97	$71.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.66 / $205.77 / $379.01	Professional		$182.66	$205.77	$379.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.47 / $37.10 / $74.48	Professional	26	$21.47	$37.10	$74.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $146.29 / $169.96 / $277.51	Professional	TC	$146.29	$169.96	$277.51
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $43.28 / $43.28 / $43.28	Facility	26	$43.28	$43.28	$43.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.58 / $216.53 / $347.26	Professional		$178.58	$216.53	$347.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.23 / $37.99 / $61.15	Professional	26	$28.23	$37.99	$61.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $147.81 / $180.91 / $291.60	Professional	TC	$147.81	$180.91	$291.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.28 / $43.28 / $43.28	Facility	26	$43.28	$43.28	$43.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.13 / $285.25 / $470.79	Professional		$192.13	$285.25	$470.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.08 / $44.10 / $83.93	Professional	26	$27.08	$44.10	$83.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $156.22 / $245.16 / $398.58	Professional	TC	$156.22	$245.16	$398.58
United Facility/Professional Professional Modifier Low / Median / High Price $192.40 / $266.66 / $443.78	Professional		$192.40	$266.66	$443.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.81 / $42.04 / $82.81	Professional	26	$25.81	$42.04	$82.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $157.88 / $223.58 / $381.30	Professional	TC	$157.88	$223.58	$381.30