Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.38 / $42.47 / $74.64	Professional		$37.38	$42.47	$74.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.06 / $12.45 / $17.22	Professional	26	$11.06	$12.45	$17.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.18 / $29.92 / $48.42	Professional	TC	$25.18	$29.92	$48.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.16 / $36.54 / $41.58	Professional		$30.16	$36.54	$41.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.18 / $9.91 / $11.27	Professional	26	$8.18	$9.91	$11.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.98 / $26.64 / $30.30	Professional	TC	$21.98	$26.64	$30.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $50.39 / $85.11	Professional		$38.76	$50.39	$85.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.67 / $14.96 / $25.77	Professional	26	$11.67	$14.96	$25.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.72 / $35.04 / $59.33	Professional	TC	$26.72	$35.04	$59.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $28.55 / $28.55 / $80.00	Facility	26	$28.55	$28.55	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $47.73 / $251.93	Professional		$37.20	$47.73	$251.93
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.16 / $14.40 / $76.73	Professional	26	$11.16	$14.40	$76.73
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.66 / $33.44 / $175.19	Professional	TC	$25.66	$33.44	$175.19
United Facility/Professional Professional Modifier Low / Median / High Price $36.58 / $44.64 / $76.09	Professional		$36.58	$44.64	$76.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.06 / $13.64 / $24.48	Professional	26	$11.06	$13.64	$24.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.28 / $31.04 / $52.80	Professional	TC	$25.28	$31.04	$52.80