Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.23 / $32.00 / $32.00	Facility	26	$31.23	$32.00	$32.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.33 / $95.77 / $111.11	Professional		$69.33	$95.77	$111.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.10 / $32.67 / $35.54	Professional	26	$31.10	$32.67	$35.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.52 / $63.77 / $73.72	Professional	TC	$34.52	$63.77	$73.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $97.30 / $133.61	Professional		$33.60	$97.30	$133.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.86 / $92.55 / $123.03	Professional		$62.86	$92.55	$123.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.64 / $44.98 / $56.96	Professional	26	$30.64	$44.98	$56.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.29 / $60.17 / $82.76	Professional	TC	$25.29	$60.17	$82.76
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $78.13 / $152.90 / $152.90	Facility	26	$78.13	$152.90	$152.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.30 / $99.53 / $687.40	Professional		$64.30	$99.53	$687.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.37 / $40.47 / $224.56	Professional	26	$30.37	$40.47	$224.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.29 / $58.46 / $472.45	Professional	TC	$25.29	$58.46	$472.45
United Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $88.57 / $172.11	Professional		$64.34	$88.57	$172.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.37 / $37.52 / $64.06	Professional	26	$30.37	$37.52	$64.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.74 / $53.97 / $112.85	Professional	TC	$24.74	$53.97	$112.85