Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.23 / $19.63 / $19.63	Facility	26	$18.23	$19.63	$19.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.69 / $32.61 / $106.82	Professional		$29.69	$32.61	$106.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.36 / $18.23 / $33.46	Professional	26	$16.36	$18.23	$33.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.33 / $14.37 / $82.73	Professional	TC	$13.33	$14.37	$82.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.74 / $97.34 / $97.34	Professional		$82.74	$97.34	$97.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $67.13 / $199.96	Professional		$36.64	$67.13	$199.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.66 / $36.31 / $83.00	Professional	26	$19.66	$36.31	$83.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.94 / $28.53 / $153.00	Professional	TC	$15.94	$28.53	$153.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $48.85 / $48.85 / $201.45	Facility	26	$48.85	$48.85	$201.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $134.91 / $764.92	Professional		$39.70	$134.91	$764.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.74 / $38.45 / $382.94	Professional	26	$22.74	$38.45	$382.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.96 / $98.06 / $585.86	Professional	TC	$16.96	$98.06	$585.86
United Facility/Professional Professional Modifier Low / Median / High Price $38.68 / $48.35 / $159.47	Professional		$38.68	$48.35	$159.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.40 / $26.21 / $46.46	Professional	26	$22.40	$26.21	$46.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.28 / $22.48 / $123.64	Professional	TC	$16.28	$22.48	$123.64