Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.48 / $8.48 / $14.85	Facility	26	$8.48	$8.48	$14.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $31.03 / $34.25	Professional		$25.80	$31.03	$34.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.48 / $19.09	Professional	26	$7.33	$8.48	$19.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.29 / $22.55 / $25.37	Professional	TC	$18.29	$22.55	$25.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $80.33 / $83.97	Professional		$65.09	$80.33	$83.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.09 / $20.64 / $22.05	Professional	26	$17.09	$20.64	$22.05
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $130.18 / $160.66 / $167.94	Professional	50	$130.18	$160.66	$167.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.00 / $59.24 / $61.91	Professional	TC	$48.00	$59.24	$61.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.67 / $9.67 / $9.67	Facility	26	$9.67	$9.67	$9.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $50.24 / $76.79	Professional		$27.69	$50.24	$76.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $15.62 / $21.77	Professional	26	$8.69	$15.62	$21.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.19 / $37.56 / $57.40	Professional	TC	$18.19	$37.56	$57.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $55.34 / $208.77	Professional		$29.83	$55.34	$208.77
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.59 / $16.82 / $82.56	Professional	26	$8.59	$16.82	$82.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.14 / $39.01 / $153.47	Professional	TC	$21.14	$39.01	$153.47
United Facility/Professional Professional Modifier Low / Median / High Price $31.40 / $55.34 / $92.62	Professional		$31.40	$55.34	$92.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.07 / $15.60 / $25.92	Professional	26	$9.07	$15.60	$25.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.14 / $38.34 / $60.92	Professional	TC	$21.14	$38.34	$60.92