Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.14 / $39.14 / $62.32	Facility	26	$39.14	$39.14	$62.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $72.52 / $308.75	Professional		$61.28	$72.52	$308.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.72 / $39.24 / $90.00	Professional	26	$35.72	$39.24	$90.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $33.38 / $99.68	Professional	TC	$22.57	$33.38	$99.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.26 / $179.47 / $198.49	Professional		$149.26	$179.47	$198.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.48 / $83.54 / $91.60	Professional	26	$69.48	$83.54	$91.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $79.78 / $95.92 / $107.27	Professional	TC	$79.78	$95.92	$107.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.03 / $165.67 / $263.02	Professional		$118.03	$165.67	$263.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.48 / $80.80 / $121.40	Professional	26	$54.48	$80.80	$121.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.55 / $89.21 / $141.63	Professional	TC	$63.55	$89.21	$141.63
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $85.71 / $85.71 / $174.72	Facility	26	$85.71	$85.71	$174.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.43 / $109.98 / $568.04	Professional		$64.43	$109.98	$568.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.70 / $72.54 / $236.22	Professional	26	$39.70	$72.54	$236.22
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.93 / $39.88 / $285.88	Professional	TC	$21.93	$39.88	$285.88
United Facility/Professional Professional Modifier Low / Median / High Price $64.43 / $109.98 / $161.16	Professional		$64.43	$109.98	$161.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.70 / $69.54 / $99.83	Professional	26	$39.70	$69.54	$99.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.93 / $49.47 / $80.06	Professional	TC	$21.93	$49.47	$80.06