Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $8.91 / $16.60	Facility	26	$8.91	$8.91	$16.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $199.53	Professional		$51.29	$64.57	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.33 / $24.55	Professional	26	$7.94	$9.33	$24.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $50.12 / $141.25	Professional	TC	$43.65	$50.12	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $144.54	Professional		$97.72	$128.82	$144.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $19.95 / $22.39	Professional	26	$15.14	$19.95	$22.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $109.65 / $123.03	Professional	TC	$83.18	$109.65	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $107.15 / $158.49	Professional		$63.10	$107.15	$158.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $15.85 / $22.91	Professional	26	$9.77	$15.85	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $89.13 / $134.90	Professional	TC	$53.70	$89.13	$134.90
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $20.42 / $79.43	Facility	26	$20.42	$20.42	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $93.33 / $371.54	Professional		$53.70	$93.33	$371.54
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $16.60 / $33.88	Professional	26	$9.12	$16.60	$33.88
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $77.62 / $316.23	Professional	TC	$45.71	$77.62	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $138.04	Professional		$51.29	$79.43	$138.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.88 / $21.88	Professional	26	$7.94	$12.88	$21.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $67.61 / $114.82	Professional	TC	$42.66	$67.61	$114.82