Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $373.87 / $373.87 / $373.87	Facility	26	$373.87	$373.87	$373.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.92 / $179.30 / $223.83	Professional		$119.92	$179.30	$223.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.97 / $59.91 / $78.42	Professional	26	$57.97	$59.91	$78.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.95 / $119.94 / $145.41	Professional	TC	$61.95	$119.94	$145.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.05 / $145.94 / $228.07	Professional		$124.05	$145.94	$228.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.05 / $72.93 / $114.92	Professional	26	$51.05	$72.93	$114.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.12 / $73.03 / $73.03	Professional	TC	$51.12	$73.03	$73.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.69 / $219.79 / $283.67	Professional		$118.69	$219.79	$283.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.63 / $71.81 / $127.16	Professional	26	$58.63	$71.81	$127.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.82 / $78.56 / $190.14	Professional	TC	$55.82	$78.56	$190.14
United Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $179.73 / $252.87	Professional		$124.87	$179.73	$252.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.25 / $68.27 / $106.20	Professional	26	$61.25	$68.27	$106.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.71 / $103.54 / $139.63	Professional	TC	$61.71	$103.54	$139.63