Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $125.05 / $125.05	Facility		$22.00	$125.05	$125.05
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.06 / $3.06 / $3.06	Facility	26	$3.06	$3.06	$3.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $25.66 / $54.71	Professional		$18.32	$25.66	$54.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.57 / $3.12 / $4.59	Professional	26	$2.57	$3.12	$4.59
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $8.69 / $11.00 / $15.23	Professional	52	$8.69	$11.00	$15.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.16 / $22.53 / $33.88	Professional	TC	$16.16	$22.53	$33.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.37 / $55.99 / $58.72	Professional		$45.37	$55.99	$58.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.92 / $7.31 / $7.64	Professional	26	$5.92	$7.31	$7.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.45 / $48.69 / $51.53	Professional	TC	$39.45	$48.69	$51.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $26.10 / $26.10	Facility		$26.10	$26.10	$26.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.41 / $3.41 / $3.41	Facility	26	$3.41	$3.41	$3.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $44.44 / $71.73	Professional		$23.09	$44.44	$71.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.27 / $6.54 / $12.57	Professional	26	$3.27	$6.54	$12.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.82 / $35.90 / $63.29	Professional	TC	$19.82	$35.90	$63.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.08 / $39.61 / $71.66	Facility		$23.08	$39.61	$71.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $41.70 / $311.26	Professional		$22.94	$41.70	$311.26
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $3.38 / $6.14 / $129.00	Professional	26	$3.38	$6.14	$129.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.55 / $35.56 / $252.63	Professional	TC	$19.55	$35.56	$252.63
United Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $39.61 / $59.52	Professional		$22.94	$39.61	$59.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.25 / $5.99 / $9.73	Professional	26	$3.25	$5.99	$9.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.13 / $32.63 / $45.85	Professional	TC	$19.13	$32.63	$45.85