Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.21 / $22.30 / $36.01	Facility	26	$14.21	$22.30	$36.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.20 / $114.27 / $148.99	Professional		$111.20	$114.27	$148.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.12 / $22.30 / $28.91	Professional	26	$16.12	$22.30	$28.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $88.90 / $91.66 / $120.80	Professional	TC	$88.90	$91.66	$120.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.48 / $118.30 / $162.44	Professional		$24.48	$118.30	$162.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.39 / $19.39 / $23.13	Facility	26	$19.39	$19.39	$23.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $164.37 / $225.65	Professional		$124.23	$164.37	$225.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.10 / $24.55 / $38.35	Professional	26	$17.10	$24.55	$38.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $99.57 / $142.27 / $203.16	Professional	TC	$99.57	$142.27	$203.16
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $53.56 / $102.96 / $102.96	Facility	26	$53.56	$102.96	$102.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.25 / $161.90 / $1,021.59	Professional		$117.25	$161.90	$1,021.59
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.59 / $25.73 / $203.09	Professional	26	$17.59	$25.73	$203.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $92.31 / $159.91 / $934.78	Professional	TC	$92.31	$159.91	$934.78
United Facility/Professional Professional Modifier Low / Median / High Price $111.66 / $148.91 / $248.67	Professional		$111.66	$148.91	$248.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.14 / $23.49 / $44.21	Professional	26	$17.14	$23.49	$44.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.19 / $117.88 / $205.85	Professional	TC	$90.19	$117.88	$205.85