Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.38 / $10.38 / $10.38	Facility	26	$10.38	$10.38	$10.38
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.97 / $37.58 / $224.20	Facility	TC	$21.97	$37.58	$224.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $38.24 / $42.58	Professional		$27.01	$38.24	$42.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.78 / $12.37 / $13.17	Professional	26	$8.78	$12.37	$13.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.21 / $25.05 / $28.98	Professional	TC	$18.21	$25.05	$28.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.01 / $39.20 / $53.83	Professional		$14.01	$39.20	$53.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.39 / $21.39 / $21.39	Facility	26	$21.39	$21.39	$21.39
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $33.71 / $33.71 / $33.71	Facility	TC	$33.71	$33.71	$33.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $36.28 / $55.48	Professional		$29.87	$36.28	$55.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.20 / $12.96 / $20.17	Professional	26	$11.20	$12.96	$20.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.67 / $23.77 / $36.39	Professional	TC	$18.67	$23.77	$36.39
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $30.85 / $70.00 / $70.00	Facility	26	$30.85	$70.00	$70.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $61.48 / $131.69 / $131.69	Facility	TC	$61.48	$131.69	$131.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $41.69 / $271.47	Professional		$34.18	$41.69	$271.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.05 / $15.16 / $81.06	Professional	26	$12.05	$15.16	$81.06
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.06 / $26.53 / $190.40	Professional	TC	$21.06	$26.53	$190.40
United Facility/Professional Professional Modifier Low / Median / High Price $33.49 / $40.60 / $63.74	Professional		$33.49	$40.60	$63.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.96 / $14.28 / $22.65	Professional	26	$11.96	$14.28	$22.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.93 / $26.53 / $42.01	Professional	TC	$20.93	$26.53	$42.01