Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
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 Professional Modifier Low / Median / High Price $34.36 / $42.76 / $68.56	Professional		$34.36	$42.76	$68.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $10.99 / $38.27	Professional	26	$10.02	$10.99	$38.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.87 / $33.61 / $57.59	Professional	TC	$24.87	$33.61	$57.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.22 / $99.00 / $103.47	Professional		$80.22	$99.00	$103.47
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 $59.18 / $73.02 / $76.33	Professional	TC	$59.18	$73.02	$76.33
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 Professional Modifier Low / Median / High Price $47.68 / $75.58 / $106.52	Professional		$47.68	$75.58	$106.52
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 $33.92 / $55.46 / $79.45	Professional	TC	$33.92	$55.46	$79.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $77.20 / $262.94	Professional		$40.46	$77.20	$262.94
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.55 / $21.51 / $117.24	Professional	26	$11.55	$21.51	$117.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $29.00 / $55.61 / $201.73	Professional	TC	$29.00	$55.61	$201.73
United Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $73.06 / $99.77	Professional		$40.46	$73.06	$99.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.46 / $20.94 / $28.36	Professional	26	$11.46	$20.94	$28.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.51 / $52.17 / $71.41	Professional	TC	$28.51	$52.17	$71.41