Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.83 / $32.83 / $53.01	Facility	26	$32.83	$32.83	$53.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $57.01 / $83.04	Professional		$51.82	$57.01	$83.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.03 / $33.97 / $50.60	Professional	26	$30.03	$33.97	$50.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $28.69 / $61.73	Professional	TC	$19.32	$28.69	$61.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.03 / $153.94 / $169.78	Professional		$128.03	$153.94	$169.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.19 / $71.17 / $78.03	Professional	26	$59.19	$71.17	$78.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.84 / $82.77 / $92.91	Professional	TC	$68.84	$82.77	$92.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.88 / $141.60 / $224.82	Professional		$100.88	$141.60	$224.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.40 / $68.83 / $103.42	Professional	26	$46.40	$68.83	$103.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.48 / $76.45 / $121.40	Professional	TC	$54.48	$76.45	$121.40
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $72.78 / $72.78 / $145.80	Facility	26	$72.78	$72.78	$145.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.52 / $94.77 / $486.90	Professional		$55.52	$94.77	$486.90
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.20 / $61.38 / $196.52	Professional	26	$33.20	$61.38	$196.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.55 / $35.56 / $244.63	Professional	TC	$19.55	$35.56	$244.63
United Facility/Professional Professional Modifier Low / Median / High Price $55.52 / $100.94 / $146.78	Professional		$55.52	$100.94	$146.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.44 / $58.85 / $73.04	Professional	26	$35.44	$58.85	$73.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.55 / $42.84 / $68.48	Professional	TC	$19.55	$42.84	$68.48