Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.53 / $13.53 / $21.85	Facility	26	$13.53	$13.53	$21.85
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.32 / $28.32 / $52.13	Facility	TC	$28.32	$28.32	$52.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.49 / $40.27 / $45.22	Professional		$34.49	$40.27	$45.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.05 / $12.66 / $13.93	Professional	26	$11.05	$12.66	$13.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.17 / $27.94 / $32.11	Professional	TC	$23.17	$27.94	$32.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.16 / $103.86 / $108.92	Professional		$84.16	$103.86	$108.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.99 / $30.84 / $32.22	Professional	26	$24.99	$30.84	$32.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $59.18 / $73.02 / $76.58	Professional	TC	$59.18	$73.02	$76.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.65 / $14.65 / $14.65	Facility	26	$14.65	$14.65	$14.65
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $33.92 / $33.92 / $33.92	Facility	TC	$33.92	$33.92	$33.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $64.95 / $106.38	Professional		$36.36	$64.95	$106.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.88 / $20.41 / $32.82	Professional	26	$11.88	$20.41	$32.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.61 / $46.18 / $73.53	Professional	TC	$24.61	$46.18	$73.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $77.27 / $277.95	Professional		$40.11	$77.27	$277.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.25 / $25.67 / $81.06	Professional	26	$13.25	$25.67	$81.06
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.08 / $50.64 / $196.89	Professional	TC	$27.08	$50.64	$196.89
United Facility/Professional Professional Modifier Low / Median / High Price $42.22 / $77.26 / $105.18	Professional		$42.22	$77.26	$105.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.96 / $25.09 / $33.77	Professional	26	$13.96	$25.09	$33.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.85 / $50.64 / $71.41	Professional	TC	$27.85	$50.64	$71.41