Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.48 / $64.57	Professional		$40.74	$52.48	$64.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $19.05 / $22.91	Professional	26	$15.14	$19.05	$22.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $33.11 / $41.69	Professional	TC	$25.70	$33.11	$41.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $169.82 / $169.82	Professional		$147.91	$169.82	$169.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $63.10 / $63.10	Professional	26	$54.95	$63.10	$63.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $107.15 / $107.15	Professional	TC	$93.33	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $109.65	Professional		$87.10	$87.10	$109.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $31.62 / $39.81	Professional	26	$31.62	$31.62	$39.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $54.95 / $69.18	Professional	TC	$54.95	$54.95	$69.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $165.96 / $436.52	Professional		$154.88	$165.96	$436.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $60.26 / $158.49	Professional	26	$57.54	$60.26	$158.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $104.71 / $281.84	Professional	TC	$97.72	$104.71	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $138.04 / $173.78	Professional		$75.86	$138.04	$173.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $50.12 / $64.57	Professional	26	$27.54	$50.12	$64.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $87.10 / $109.65	Professional	TC	$46.77	$87.10	$109.65