Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.07 / $77.59 / $96.98	Facility	26	$32.07	$77.59	$96.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.55 / $120.17 / $143.77	Professional		$88.55	$120.17	$143.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.16 / $100.31 / $120.63	Professional	TC	$73.16	$100.31	$120.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $122.60 / $153.25	Professional		$107.28	$122.60	$153.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.22 / $104.26 / $130.32	Professional	TC	$91.22	$104.26	$130.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.26 / $26.26 / $26.26	Facility	26	$26.26	$26.26	$26.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.24 / $143.28 / $240.48	Professional		$104.24	$143.28	$240.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.78 / $115.94 / $191.22	Professional	TC	$79.78	$115.94	$191.22
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $104.46 / $104.46 / $104.46	Facility	26	$104.46	$104.46	$104.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $132.09 / $923.37	Professional		$108.85	$132.09	$923.37
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $84.23 / $107.55 / $778.42	Professional	TC	$84.23	$107.55	$778.42
United Facility/Professional Professional Modifier Low / Median / High Price $106.56 / $132.09 / $213.12	Professional		$106.56	$132.09	$213.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $84.15 / $107.55 / $168.47	Professional	TC	$84.15	$107.55	$168.47