Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.73 / $18.73 / $18.73	Facility	26	$18.73	$18.73	$18.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $32.97 / $44.63	Professional		$26.98	$32.97	$44.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.17 / $18.29 / $26.78	Professional	26	$15.17	$18.29	$26.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.82 / $14.45 / $18.12	Professional	TC	$11.82	$14.45	$18.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $36.49 / $50.46	Professional		$21.00	$36.49	$50.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.50 / $41.50 / $52.03	Facility	26	$41.50	$41.50	$52.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.94 / $63.26 / $167.47	Professional		$39.94	$63.26	$167.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.67 / $34.31 / $51.85	Professional	26	$22.67	$34.31	$51.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.28 / $26.61 / $116.00	Professional	TC	$17.28	$26.61	$116.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $48.85 / $201.45 / $201.45	Facility	26	$48.85	$201.45	$201.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $52.23 / $764.92	Professional		$35.72	$52.23	$764.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.78 / $34.01 / $382.94	Professional	26	$19.78	$34.01	$382.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $14.76 / $32.15 / $585.86	Professional	TC	$14.76	$32.15	$585.86
United Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $41.69 / $152.63	Professional		$34.54	$41.69	$152.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.78 / $25.05 / $43.36	Professional	26	$19.78	$25.05	$43.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.57 / $17.07 / $111.83	Professional	TC	$13.57	$17.07	$111.83