Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.44 / $368.92 / $513.29	Facility		$135.44	$368.92	$513.29
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.36 / $11.36 / $18.34	Facility	26	$11.36	$11.36	$18.34
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.88 / $134.88 / $313.52	Facility	TC	$26.88	$134.88	$313.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $39.14 / $80.95	Professional		$33.14	$39.14	$80.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $10.99 / $38.70	Professional	26	$10.02	$10.99	$38.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.16 / $28.39 / $80.09	Professional	TC	$24.16	$28.39	$80.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.25 / $96.56 / $100.92	Professional		$78.25	$96.56	$100.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.04 / $25.97 / $27.14	Professional	26	$21.04	$25.97	$27.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $55.97 / $67.30 / $73.79	Professional	TC	$55.97	$67.30	$73.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.36 / $44.36 / $44.36	Facility		$44.36	$44.36	$44.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.30 / $12.30	Facility	26	$12.30	$12.30	$12.30
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $32.44 / $32.44 / $32.44	Facility	TC	$32.44	$32.44	$32.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $62.00 / $97.87	Professional		$36.34	$62.00	$97.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $19.64 / $27.07	Professional	26	$10.72	$19.64	$27.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.86 / $44.66 / $70.30	Professional	TC	$25.86	$44.66	$70.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.52 / $61.83 / $104.37	Facility		$36.52	$61.83	$104.37
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $87.68 / $126.10 / $162.80	Facility	TC	$87.68	$126.10	$162.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $68.62 / $254.22	Professional		$36.69	$68.62	$254.22
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.89 / $21.51 / $90.81	Professional	26	$11.89	$21.51	$90.81
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.72 / $47.54 / $195.00	Professional	TC	$25.72	$47.54	$195.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $66.09 / $96.12	Professional		$36.69	$66.09	$96.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.55 / $20.79 / $28.35	Professional	26	$11.55	$20.79	$28.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.32 / $43.46 / $67.77	Professional	TC	$24.32	$43.46	$67.77