Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $14.13 / $23.44	Facility	26	$14.13	$14.13	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $41.69 / $87.10	Professional		$33.11	$41.69	$87.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $14.13 / $33.11	Professional	26	$10.96	$14.13	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.18 / $58.88	Professional	TC	$21.88	$28.18	$58.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $112.20	Professional		$75.86	$102.33	$112.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $31.62 / $35.48	Professional	26	$23.99	$31.62	$35.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $69.18 / $77.62	Professional	TC	$52.48	$69.18	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $66.07 / $107.15	Professional		$39.81	$66.07	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $20.42 / $35.48	Professional	26	$12.88	$20.42	$35.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $45.71 / $72.44	Professional	TC	$26.30	$45.71	$72.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $74.13 / $281.84	Professional		$41.69	$74.13	$281.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $26.30 / $100.00	Professional	26	$14.45	$26.30	$100.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $47.86 / $251.19	Professional	TC	$26.92	$47.86	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $66.07 / $104.71	Professional		$40.74	$66.07	$104.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $23.44 / $38.02	Professional	26	$13.49	$23.44	$38.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $41.69 / $69.18	Professional	TC	$26.92	$41.69	$69.18