Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $14.84	Facility	26	$9.19	$9.19	$14.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $58.97 / $159.12	Professional		$52.75	$58.97	$159.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.45 / $8.77 / $25.10	Professional	26	$7.45	$8.77	$25.10
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $26.60 / $28.93 / $31.77	Professional	52	$26.60	$28.93	$31.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.02 / $49.82 / $122.86	Professional	TC	$45.02	$49.82	$122.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $136.32 / $142.96	Professional		$110.46	$136.32	$142.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.09 / $21.09 / $22.05	Professional	26	$17.09	$21.09	$22.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.37 / $115.22 / $120.84	Professional	TC	$93.37	$115.22	$120.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.89 / $118.05 / $182.20	Professional		$70.89	$118.05	$182.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.78 / $17.36 / $26.79	Professional	26	$10.78	$17.36	$26.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $59.86 / $100.69 / $155.40	Professional	TC	$59.86	$100.69	$155.40
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $20.60 / $20.60 / $80.00	Facility	26	$20.60	$20.60	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.38 / $101.02 / $250.40	Professional		$57.38	$101.02	$250.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.05 / $17.22 / $28.13	Professional	26	$10.05	$17.22	$28.13
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $48.00 / $82.51 / $318.41	Professional	TC	$48.00	$82.51	$318.41
United Facility/Professional Professional Modifier Low / Median / High Price $57.38 / $93.40 / $155.82	Professional		$57.38	$93.40	$155.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.10 / $13.41 / $19.97	Professional	26	$9.10	$13.41	$19.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.55 / $75.08 / $103.19	Professional	TC	$46.55	$75.08	$103.19