Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.05 / $126.05 / $126.05	Facility		$126.05	$126.05	$126.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $99.51 / $123.46	Professional		$47.74	$99.51	$123.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.07 / $51.74 / $61.65	Professional	26	$20.07	$51.74	$61.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.66 / $47.77 / $111.36	Professional	TC	$27.66	$47.77	$111.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.65 / $172.17 / $172.31	Professional		$153.65	$172.17	$172.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.55 / $67.56 / $67.84	Professional	26	$60.55	$67.56	$67.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.10 / $104.32 / $104.74	Professional	TC	$93.10	$104.32	$104.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.67 / $84.67 / $105.83	Professional		$84.67	$84.67	$105.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.04 / $33.04 / $41.30	Professional	26	$33.04	$33.04	$41.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.63 / $51.63 / $64.53	Professional	TC	$51.63	$51.63	$64.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.31 / $51.82 / $89.87	Facility		$41.31	$51.82	$89.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $142.63 / $641.00	Professional		$82.28	$142.63	$641.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $54.42 / $67.19 / $513.00	Professional	26	$54.42	$67.19	$513.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $47.64 / $87.47 / $312.17	Professional	TC	$47.64	$87.47	$312.17
United Facility/Professional Professional Modifier Low / Median / High Price $69.94 / $142.63 / $150.41	Professional		$69.94	$142.63	$150.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.45 / $60.05 / $62.94	Professional	26	$29.45	$60.05	$62.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $40.49 / $87.47	Professional	TC	$23.82	$40.49	$87.47