Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.52 / $147.19 / $535.28	Professional		$128.52	$147.19	$535.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.81 / $163.69 / $300.83	Professional	26	$74.81	$163.69	$300.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $60.16 / $62.30	Professional	TC	$53.70	$60.16	$62.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.00 / $241.00 / $241.00	Professional		$196.00	$241.00	$241.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $113.00 / $139.00 / $139.00	Professional	26	$113.00	$139.00	$139.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.00 / $102.00 / $102.00	Professional	TC	$83.00	$102.00	$102.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.90 / $211.37 / $303.91	Professional		$163.90	$211.37	$303.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.09 / $121.99 / $165.34	Professional	26	$89.09	$121.99	$165.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.81 / $89.39 / $138.57	Professional	TC	$74.81	$89.39	$138.57
United Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $264.79 / $475.81	Professional		$186.93	$264.79	$475.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.70 / $152.51 / $265.63	Professional	26	$103.70	$152.51	$265.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.68 / $109.19 / $210.18	Professional	TC	$86.68	$109.19	$210.18