Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.45 / $12.45 / $19.51	Facility	26	$12.45	$12.45	$19.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.79 / $51.96 / $69.34	Professional		$42.79	$51.96	$69.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.86 / $11.69 / $15.85	Professional	26	$9.86	$11.69	$15.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.90 / $39.51 / $53.89	Professional	TC	$32.90	$39.51	$53.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.55 / $129.02 / $134.85	Professional		$104.55	$129.02	$134.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.36 / $27.59 / $28.83	Professional	26	$22.36	$27.59	$28.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $82.19 / $101.43 / $106.02	Professional	TC	$82.19	$101.43	$106.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.10 / $13.10 / $13.10	Facility	26	$13.10	$13.10	$13.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.34 / $81.20 / $128.75	Professional		$49.34	$81.20	$128.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.86 / $20.93 / $28.81	Professional	26	$11.86	$20.93	$28.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.39 / $64.45 / $98.51	Professional	TC	$36.39	$64.45	$98.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.71 / $95.96 / $345.31	Professional		$49.71	$95.96	$345.31
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.24 / $24.24 / $142.00	Professional	26	$12.24	$24.24	$142.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $37.71 / $71.44 / $272.83	Professional	TC	$37.71	$71.44	$272.83
United Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $95.76 / $149.69	Professional		$52.33	$95.76	$149.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.89 / $22.94 / $31.05	Professional	26	$12.89	$22.94	$31.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.29 / $70.39 / $99.69	Professional	TC	$39.29	$70.39	$99.69