Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.45 / $52.45 / $101.26	Facility	26	$52.45	$52.45	$101.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.17 / $85.65 / $196.03	Professional		$72.17	$85.65	$196.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.40 / $46.26 / $101.26	Professional	26	$39.40	$46.26	$101.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.78 / $41.94 / $94.77	Professional	TC	$33.78	$41.94	$94.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.56 / $105.56 / $105.56	Professional		$105.56	$105.56	$105.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $133.19 / $278.35	Professional		$80.33	$133.19	$278.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.34 / $68.04 / $142.06	Professional	26	$43.34	$68.04	$142.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.32 / $59.00 / $136.29	Professional	TC	$35.32	$59.00	$136.29
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $102.35 / $102.35 / $102.35	Facility	26	$102.35	$102.35	$102.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.91 / $106.84 / $567.30	Professional		$76.91	$106.84	$567.30
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $47.81 / $60.72 / $318.67	Professional	26	$47.81	$60.72	$318.67
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.03 / $49.34 / $318.67	Professional	TC	$27.03	$49.34	$318.67
United Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $106.84 / $204.64	Professional		$75.56	$106.84	$204.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.16 / $59.13 / $95.87	Professional	26	$47.16	$59.13	$95.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.18 / $45.45 / $84.06	Professional	TC	$19.18	$45.45	$84.06