Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.45 / $12.45 / $12.45	Facility	26	$12.45	$12.45	$12.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $44.02 / $75.79	Professional		$41.15	$44.02	$75.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.24 / $12.45 / $18.12	Professional	26	$11.24	$12.45	$18.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.73 / $31.57 / $57.68	Professional	TC	$29.73	$31.57	$57.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.76 / $109.54 / $114.50	Professional		$88.76	$109.54	$114.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.01 / $28.40 / $29.69	Professional	26	$23.01	$28.40	$29.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $65.75 / $81.14 / $84.81	Professional	TC	$65.75	$81.14	$84.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $93.74 / $144.69	Professional		$52.82	$93.74	$144.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.55 / $23.61 / $36.44	Professional	26	$15.55	$23.61	$36.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.09 / $70.13 / $108.25	Professional	TC	$39.09	$70.13	$108.25
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $27.92 / $27.92 / $80.00	Facility	26	$27.92	$27.92	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.22 / $74.83 / $277.95	Professional		$44.22	$74.83	$277.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.23 / $21.80 / $74.58	Professional	26	$12.23	$21.80	$74.58
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $31.76 / $51.55 / $203.39	Professional	TC	$31.76	$51.55	$203.39
United Facility/Professional Professional Modifier Low / Median / High Price $44.22 / $69.15 / $97.66	Professional		$44.22	$69.15	$97.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.23 / $20.39 / $27.79	Professional	26	$12.23	$20.39	$27.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.76 / $50.97 / $70.25	Professional	TC	$31.76	$50.97	$70.25