Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.06 / $38.06 / $60.88	Facility	26	$38.06	$38.06	$60.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $73.09 / $99.39	Professional		$66.73	$73.09	$99.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.06 / $44.39 / $83.74	Professional	26	$38.06	$44.39	$83.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $24.82 / $41.52	Professional	TC	$22.57	$24.82	$41.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $139.38 / $179.80	Professional		$80.23	$139.38	$179.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.69 / $87.86 / $89.53	Professional	26	$74.69	$87.86	$89.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $76.80 / $90.36 / $92.07	Professional	TC	$76.80	$90.36	$92.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.93 / $158.60 / $238.30	Professional		$106.93	$158.60	$238.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.96 / $78.55 / $118.03	Professional	26	$52.96	$78.55	$118.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.97 / $75.76 / $120.28	Professional	TC	$53.97	$75.76	$120.28
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $83.68 / $83.68 / $176.34	Facility	26	$83.68	$83.68	$176.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $124.12 / $568.04	Professional		$67.48	$124.12	$568.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $39.25 / $82.14 / $234.92	Professional	26	$39.25	$82.14	$234.92
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.92 / $37.53 / $244.63	Professional	TC	$21.92	$37.53	$244.63
United Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $118.98 / $148.47	Professional		$67.48	$118.98	$148.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.28 / $68.84 / $92.34	Professional	26	$41.28	$68.84	$92.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.92 / $42.46 / $67.86	Professional	TC	$21.92	$42.46	$67.86