Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $30.20 / $48.98	Facility	26	$28.18	$30.20	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $61.66 / $131.83	Professional		$39.81	$61.66	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $30.20 / $70.79	Professional	26	$25.70	$30.20	$70.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.12 / $66.07	Professional	TC	$19.05	$25.12	$66.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $112.20	Professional		$77.62	$102.33	$112.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $66.07 / $72.44	Professional	26	$48.98	$66.07	$72.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $36.31 / $40.74	Professional	TC	$27.54	$36.31	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.98 / $63.10	Professional		$38.90	$48.98	$63.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $31.62 / $39.81	Professional	26	$25.12	$31.62	$39.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $18.20 / $22.91	Professional	TC	$14.13	$18.20	$22.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $97.72 / $331.13	Professional		$56.23	$97.72	$331.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $57.54 / $181.97	Professional	26	$30.90	$57.54	$181.97
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $45.71 / $151.36	Professional	TC	$25.12	$45.71	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $128.82	Professional		$52.48	$85.11	$128.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $48.98 / $75.86	Professional	26	$30.90	$48.98	$75.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $38.02 / $57.54	Professional	TC	$22.91	$38.02	$57.54