Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $10.96 / $19.05	Facility	26	$10.96	$10.96	$19.05
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.99 / $26.92 / $45.71	Facility	TC	$23.99	$26.92	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $43.65 / $95.50	Professional		$30.20	$43.65	$95.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $10.96 / $26.92	Professional	26	$8.91	$10.96	$26.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $30.90 / $72.44	Professional	TC	$19.95	$30.90	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $95.50	Professional		$64.57	$85.11	$95.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $25.70 / $28.18	Professional	26	$19.05	$25.70	$28.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $60.26 / $67.61	Professional	TC	$45.71	$60.26	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $56.23 / $87.10	Professional		$29.51	$56.23	$87.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.22 / $28.18	Professional	26	$10.00	$16.22	$28.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $39.81 / $61.66	Professional	TC	$20.42	$39.81	$61.66
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $85.11 / $97.72 / $114.82	Facility	TC	$85.11	$97.72	$114.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $61.66 / $234.42	Professional		$34.67	$61.66	$234.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $21.88 / $70.79	Professional	26	$12.02	$21.88	$70.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $41.69 / $165.96	Professional	TC	$23.44	$41.69	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $56.23 / $87.10	Professional		$33.11	$56.23	$87.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $18.62 / $29.51	Professional	26	$11.22	$18.62	$29.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $37.15 / $58.88	Professional	TC	$21.88	$37.15	$58.88