Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.37 / $313.60 / $548.17	Facility		$112.37	$313.60	$548.17
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.35 / $11.36 / $18.34	Facility	26	$11.35	$11.36	$18.34
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.88 / $396.15 / $416.80	Facility	TC	$26.88	$396.15	$416.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $40.90 / $84.59	Professional		$33.42	$40.90	$84.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $10.85 / $36.49	Professional	26	$10.02	$10.85	$36.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.62 / $31.06 / $210.60	Professional	TC	$26.62	$31.06	$210.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.25 / $96.56 / $101.27	Professional		$78.25	$96.56	$101.27
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 $57.21 / $70.59 / $74.03	Professional	TC	$57.21	$70.59	$74.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.74 / $44.74 / $44.74	Facility		$44.74	$44.74	$44.74
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 $32.79 / $32.79 / $32.79	Facility	TC	$32.79	$32.79	$32.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $63.85 / $96.95	Professional		$39.04	$63.85	$96.95
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 $27.75 / $46.19 / $68.26	Professional	TC	$27.75	$46.19	$68.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.24 / $65.02 / $188.80	Facility		$38.24	$65.02	$188.80
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $94.35 / $140.46 / $206.85	Facility	TC	$94.35	$140.46	$206.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $70.40 / $256.38	Professional		$38.61	$70.40	$256.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.45 / $22.64 / $82.56	Professional	26	$12.45	$22.64	$82.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.27 / $47.76 / $211.00	Professional	TC	$26.27	$47.76	$211.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $67.09 / $96.12	Professional		$38.61	$67.09	$96.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.31 / $20.38 / $28.35	Professional	26	$11.31	$20.38	$28.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.27 / $45.37 / $67.77	Professional	TC	$26.27	$45.37	$67.77