Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.61 / $14.61 / $23.00	Facility	26	$14.61	$14.61	$23.00
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.77 / $29.77 / $54.45	Facility	TC	$29.77	$29.77	$54.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $44.38 / $69.12	Professional		$36.15	$44.38	$69.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.86 / $14.49 / $23.00	Professional	26	$11.86	$14.49	$23.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.97 / $29.77 / $54.45	Professional	TC	$25.97	$29.77	$54.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.11 / $108.73 / $113.65	Professional		$88.11	$108.73	$113.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $32.45 / $33.93	Professional	26	$26.30	$32.45	$33.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.80 / $76.28 / $79.73	Professional	TC	$61.80	$76.28	$79.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.41 / $15.41 / $15.41	Facility	26	$15.41	$15.41	$15.41
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $35.04 / $35.04 / $35.04	Facility	TC	$35.04	$35.04	$35.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.36 / $81.09 / $117.00	Professional		$52.36	$81.09	$117.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.58 / $24.74 / $37.69	Professional	26	$14.58	$24.74	$37.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.69 / $52.19 / $78.41	Professional	TC	$32.69	$52.19	$78.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $88.76 / $314.00	Professional		$45.83	$88.76	$314.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.08 / $33.09 / $107.32	Professional	26	$15.08	$33.09	$107.32
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $29.95 / $56.38 / $296.00	Professional	TC	$29.95	$56.38	$296.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $81.94 / $111.55	Professional		$45.83	$81.94	$111.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.98 / $29.22 / $36.50	Professional	26	$15.98	$29.22	$36.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.95 / $54.81 / $75.05	Professional	TC	$29.95	$54.81	$75.05