Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.06 / $49.85 / $83.23	Facility	26	$31.06	$49.85	$83.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $48.44 / $139.00	Professional		$29.85	$48.44	$139.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.12 / $21.81 / $42.31	Professional	26	$19.12	$21.81	$42.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.31 / $19.44 / $59.46	Professional	TC	$10.31	$19.44	$59.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.19 / $52.25 / $56.82	Professional		$39.19	$52.25	$56.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.34 / $20.45 / $22.24	Professional	26	$15.34	$20.45	$22.24
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.85 / $31.80 / $34.58	Professional	TC	$23.85	$31.80	$34.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $54.03 / $104.44	Professional		$35.65	$54.03	$104.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.07 / $26.43 / $49.16	Professional	26	$20.07	$26.43	$49.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.19 / $28.72 / $58.00	Professional	TC	$12.19	$28.72	$58.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $48.04 / $48.04 / $92.34	Facility	26	$48.04	$48.04	$92.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $45.58 / $355.02	Professional		$27.59	$45.58	$355.02
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.60 / $23.50 / $132.09	Professional	26	$18.60	$23.50	$132.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $23.76 / $222.93	Professional	TC	$8.91	$23.76	$222.93
United Facility/Professional Professional Modifier Low / Median / High Price $27.28 / $45.42 / $90.91	Professional		$27.28	$45.42	$90.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.00 / $21.84 / $41.04	Professional	26	$18.00	$21.84	$41.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.36 / $20.10 / $47.64	Professional	TC	$8.36	$20.10	$47.64