Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.50 / $29.24 / $40.02	Facility	26	$21.50	$29.24	$40.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $92.50 / $103.01	Professional		$62.87	$92.50	$103.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.04 / $25.40 / $27.08	Professional	26	$18.04	$25.40	$27.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.84 / $67.09 / $78.43	Professional	TC	$44.84	$67.09	$78.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.60 / $91.35 / $125.44	Professional		$26.60	$91.35	$125.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.76 / $24.76 / $37.03	Facility	26	$24.76	$24.76	$37.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.94 / $83.91 / $144.30	Professional		$76.94	$83.91	$144.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.07 / $26.13 / $39.72	Professional	26	$22.07	$26.13	$39.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.36 / $60.54 / $105.16	Professional	TC	$51.36	$60.54	$105.16
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $61.65 / $118.08 / $118.08	Facility	26	$61.65	$118.08	$118.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.21 / $102.62 / $642.13	Professional		$82.21	$102.62	$642.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.23 / $28.46 / $167.46	Professional	26	$24.23	$28.46	$167.46
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $54.57 / $70.11 / $474.67	Professional	TC	$54.57	$70.11	$474.67
United Facility/Professional Professional Modifier Low / Median / High Price $77.38 / $92.23 / $146.76	Professional		$77.38	$92.23	$146.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.71 / $27.08 / $42.77	Professional	26	$23.71	$27.08	$42.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.16 / $70.11 / $109.81	Professional	TC	$51.16	$70.11	$109.81