Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.53 / $6.53 / $41.94	Facility	26	$6.53	$6.53	$41.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.82 / $6.53 / $61.41	Professional	26	$5.82	$6.53	$61.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.53 / $22.57 / $202.03	Professional	TC	$20.53	$22.57	$202.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.59 / $56.47 / $61.91	Professional	26	$46.59	$56.47	$61.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $146.15 / $177.15 / $194.22	Professional	TC	$146.15	$177.15	$194.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.32 / $53.87 / $80.93	Professional	26	$36.32	$53.87	$80.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.53 / $174.31 / $261.91	Professional	TC	$117.53	$174.31	$261.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $57.75 / $57.75 / $110.49	Facility	26	$57.75	$57.75	$110.49
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $62.71 / $149.40 / $149.40	Professional	26	$62.71	$149.40	$149.40
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $205.62 / $393.12 / $393.12	Professional	TC	$205.62	$393.12	$393.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.43 / $31.59 / $45.44	Professional	26	$28.43	$31.59	$45.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.36 / $157.05 / $216.99	Professional	TC	$90.36	$157.05	$216.99