Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.46 / $85.13 / $130.01	Facility	26	$80.46	$85.13	$130.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.34 / $151.37 / $328.71	Professional		$126.34	$151.37	$328.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.04 / $82.73 / $155.49	Professional	26	$72.04	$82.73	$155.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.63 / $62.29 / $95.34	Professional	TC	$52.63	$62.29	$95.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.37 / $143.41 / $234.07	Professional		$117.37	$143.41	$234.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.87 / $81.54 / $135.06	Professional	26	$66.87	$81.54	$135.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.93 / $63.56 / $100.89	Professional	TC	$50.93	$63.56	$100.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.73 / $88.73 / $88.73	Facility	26	$88.73	$88.73	$88.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.27 / $190.23 / $328.73	Professional		$124.27	$190.23	$328.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.15 / $111.38 / $198.40	Professional	26	$80.15	$111.38	$198.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.10 / $87.01 / $147.24	Professional	TC	$58.10	$87.01	$147.24
United Facility/Professional Professional Modifier Low / Median / High Price $133.82 / $178.43 / $315.61	Professional		$133.82	$178.43	$315.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.34 / $102.26 / $171.44	Professional	26	$75.34	$102.26	$171.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.35 / $79.20 / $137.13	Professional	TC	$57.35	$79.20	$137.13