Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $12.88 / $22.39	Facility	26	$12.02	$12.88	$22.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $72.44 / $131.83	Professional		$43.65	$72.44	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $18.62 / $42.66	Professional	26	$10.96	$18.62	$42.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $47.86 / $104.71	Professional	TC	$32.36	$47.86	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $134.90	Professional		$91.20	$120.23	$134.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $29.51 / $32.36	Professional	26	$22.39	$29.51	$32.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $91.20 / $102.33	Professional	TC	$69.18	$91.20	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $79.43 / $128.82	Professional		$46.77	$79.43	$128.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $19.50 / $36.31	Professional	26	$11.48	$19.50	$36.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $60.26 / $93.33	Professional	TC	$34.67	$60.26	$93.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $89.13 / $331.13	Professional		$46.77	$89.13	$331.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $26.92 / $120.23	Professional	26	$13.49	$26.92	$120.23
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $63.10 / $295.12	Professional	TC	$33.88	$63.10	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $83.18 / $120.23	Professional		$46.77	$83.18	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $23.44 / $33.11	Professional	26	$12.59	$23.44	$33.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $56.23 / $93.33	Professional	TC	$33.88	$56.23	$93.33