Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.69 / $35.46 / $47.53	Facility	26	$13.69	$35.46	$47.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $52.32 / $100.94	Professional		$42.55	$52.32	$100.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.69 / $15.05 / $36.43	Professional	26	$13.69	$15.05	$36.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.86 / $36.99 / $64.51	Professional	TC	$28.86	$36.99	$64.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $66.15 / $90.04	Professional		$39.61	$66.15	$90.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.10 / $21.87 / $29.77	Professional	26	$13.10	$21.87	$29.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.52 / $44.59 / $60.27	Professional	TC	$26.52	$44.59	$60.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $97.14 / $115.53	Professional		$63.00	$97.14	$115.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.89 / $30.40 / $35.00	Professional	26	$18.89	$30.40	$35.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.02 / $67.68 / $81.98	Professional	TC	$43.02	$67.68	$81.98
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $32.90 / $80.00 / $80.00	Facility	26	$32.90	$80.00	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $99.57 / $541.00	Professional		$77.54	$99.57	$541.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.84 / $29.80 / $91.83	Professional	26	$23.84	$29.80	$91.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $67.12 / $217.68	Professional	TC	$53.70	$67.12	$217.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $101.61 / $133.00	Professional		$78.84	$101.61	$133.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $102.94 / $118.87	Professional		$79.95	$102.94	$118.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.59 / $32.65 / $36.54	Professional	26	$24.59	$32.65	$36.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.37 / $70.92 / $82.32	Professional	TC	$55.37	$70.92	$82.32