Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.75 / $31.75 / $73.40	Facility	26	$31.75	$31.75	$73.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.69 / $103.71 / $380.03	Professional		$51.69	$103.71	$380.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.78 / $31.75 / $65.76	Professional	26	$24.78	$31.75	$65.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.50 / $78.92 / $138.78	Professional	TC	$11.50	$78.92	$138.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.21 / $129.83 / $135.99	Professional		$105.21	$129.83	$135.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.80 / $103.86 / $108.56	Professional	26	$89.80	$103.86	$108.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.06 / $27.24 / $27.87	Professional	TC	$23.06	$27.24	$27.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.32 / $49.32 / $49.32	Facility	26	$49.32	$49.32	$49.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.14 / $100.23 / $196.65	Professional		$77.14	$100.23	$196.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.79 / $64.11 / $110.01	Professional	26	$33.79	$64.11	$110.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.04 / $20.30 / $123.90	Professional	TC	$15.04	$20.30	$123.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.85 / $191.90 / $558.63	Professional		$94.85	$191.90	$558.63
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $32.11 / $57.82 / $260.82	Professional	26	$32.11	$57.82	$260.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $56.30 / $117.91 / $430.88	Professional	TC	$56.30	$117.91	$430.88
United Facility/Professional Professional Modifier Low / Median / High Price $79.04 / $157.53 / $239.88	Professional		$79.04	$157.53	$239.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.09 / $58.57 / $79.27	Professional	26	$34.09	$58.57	$79.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.92 / $105.68 / $167.45	Professional	TC	$46.92	$105.68	$167.45