Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $166.73 / $403.78	Facility		$56.50	$166.73	$403.78
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.84 / $8.84 / $14.27	Facility	26	$8.84	$8.84	$14.27
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.55 / $22.55 / $42.23	Facility	TC	$22.55	$22.55	$42.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $30.38 / $48.56	Professional		$26.46	$30.38	$48.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.53 / $21.62	Professional	26	$7.33	$8.53	$21.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $22.55 / $66.59	Professional	TC	$19.14	$22.55	$66.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.43 / $79.52 / $83.11	Professional		$64.43	$79.52	$83.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.44 / $20.29 / $21.21	Professional	26	$16.44	$20.29	$21.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.00 / $59.24 / $61.91	Professional	TC	$48.00	$59.24	$61.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.53 / $36.53 / $36.53	Facility		$36.53	$36.53	$36.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $9.61	Facility	26	$9.61	$9.61	$9.61
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $27.22 / $27.22 / $27.22	Facility	TC	$27.22	$27.22	$27.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $52.77 / $79.56	Professional		$32.63	$52.77	$79.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.39 / $15.23 / $20.96	Professional	26	$8.39	$15.23	$20.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.98 / $38.00 / $57.40	Professional	TC	$22.98	$38.00	$57.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.39 / $49.45 / $59.58	Facility		$31.39	$49.45	$59.58
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $63.40 / $77.50 / $113.41	Facility	TC	$63.40	$77.50	$113.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $56.06 / $208.83	Professional		$30.17	$56.06	$208.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.94 / $17.52 / $82.56	Professional	26	$8.94	$17.52	$82.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.60 / $39.01 / $176.00	Professional	TC	$21.60	$39.01	$176.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.83 / $53.26 / $78.84	Professional		$30.83	$53.26	$78.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $16.14 / $22.02	Professional	26	$9.02	$16.14	$22.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.60 / $38.44 / $56.83	Professional	TC	$21.60	$38.44	$56.83