Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.59 / $27.59 / $45.74	Facility	26	$27.59	$27.59	$45.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $121.60 / $139.28	Professional		$97.57	$121.60	$139.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.95 / $25.73 / $27.59	Professional	26	$22.95	$25.73	$27.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.93 / $94.01 / $112.15	Professional	TC	$73.93	$94.01	$112.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.63 / $326.02 / $333.64	Professional		$249.63	$326.02	$333.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.05 / $61.88 / $67.84	Professional	26	$51.05	$61.88	$67.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $202.52 / $249.92 / $262.08	Professional	TC	$202.52	$249.92	$262.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.37 / $30.37 / $30.37	Facility	26	$30.37	$30.37	$30.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.78 / $199.45 / $305.33	Professional		$117.78	$199.45	$305.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.75 / $48.49 / $68.98	Professional	26	$26.75	$48.49	$68.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.56 / $159.36 / $243.57	Professional	TC	$85.56	$159.36	$243.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.99 / $214.85 / $859.12	Professional		$114.99	$214.85	$859.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.52 / $52.27 / $211.35	Professional	26	$27.52	$52.27	$211.35
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $84.50 / $160.46 / $689.44	Professional	TC	$84.50	$160.46	$689.44
United Facility/Professional Professional Modifier Low / Median / High Price $110.62 / $206.72 / $306.08	Professional		$110.62	$206.72	$306.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.00 / $50.71 / $68.73	Professional	26	$28.00	$50.71	$68.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.66 / $146.10 / $237.34	Professional	TC	$87.66	$146.10	$237.34