Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.72 / $11.72 / $18.34	Facility	26	$11.72	$11.72	$18.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $38.02 / $56.50	Professional		$32.85	$38.02	$56.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $10.99 / $37.38	Professional	26	$9.41	$10.99	$37.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.87 / $28.03 / $81.88	Professional	TC	$23.87	$28.03	$81.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $95.74 / $100.41	Professional		$77.59	$95.74	$100.41
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 $56.55 / $69.78 / $73.18	Professional	TC	$56.55	$69.78	$73.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.36 / $12.36 / $12.36	Facility	26	$12.36	$12.36	$12.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $65.18 / $97.14	Professional		$39.29	$65.18	$97.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.73 / $19.64 / $27.07	Professional	26	$10.73	$19.64	$27.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.33 / $46.08 / $69.48	Professional	TC	$28.33	$46.08	$69.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.94 / $70.16 / $252.05	Professional		$37.94	$70.16	$252.05
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.42 / $21.82 / $92.47	Professional	26	$11.42	$21.82	$92.47
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.88 / $47.54 / $226.00	Professional	TC	$25.88	$47.54	$226.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $68.98 / $97.02	Professional		$38.97	$68.98	$97.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.91 / $20.82 / $33.45	Professional	26	$11.91	$20.82	$33.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.32 / $45.71 / $67.77	Professional	TC	$24.32	$45.71	$67.77