Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.33 / $24.33 / $38.47	Facility	26	$24.33	$24.33	$38.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $127.80 / $182.41	Professional		$115.43	$127.80	$182.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.49 / $20.92 / $38.46	Professional	26	$14.49	$20.92	$38.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.53 / $106.95 / $161.49	Professional	TC	$95.53	$106.95	$161.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.65 / $296.99 / $311.44	Professional		$240.65	$296.99	$311.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.71 / $55.17 / $57.86	Professional	26	$44.71	$55.17	$57.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $195.94 / $241.80 / $253.58	Professional	TC	$195.94	$241.80	$253.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.70 / $26.70 / $26.70	Facility	26	$26.70	$26.70	$26.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.35 / $242.16 / $389.25	Professional		$134.35	$242.16	$389.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.18 / $42.48 / $68.56	Professional	26	$19.18	$42.48	$68.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.58 / $200.51 / $336.34	Professional	TC	$117.58	$200.51	$336.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $246.35 / $1,021.59	Professional		$142.63	$246.35	$1,021.59
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.51 / $45.65 / $203.09	Professional	26	$22.51	$45.65	$203.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $115.89 / $209.14 / $934.78	Professional	TC	$115.89	$209.14	$934.78
United Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $238.61 / $323.54	Professional		$142.63	$238.61	$323.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.51 / $43.64 / $57.38	Professional	26	$22.51	$43.64	$57.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $106.11 / $187.81 / $253.77	Professional	TC	$106.11	$187.81	$253.77