Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.81 / $12.81 / $20.68	Facility	26	$12.81	$12.81	$20.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $42.57 / $55.93	Professional		$34.97	$42.57	$55.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.83 / $11.41 / $14.85	Professional	26	$9.83	$11.41	$14.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.79 / $29.18 / $34.03	Professional	TC	$24.79	$29.18	$34.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.13 / $106.30 / $111.10	Professional		$86.13	$106.30	$111.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.67 / $28.89 / $30.53	Professional	26	$23.67	$28.89	$30.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $62.46 / $77.09 / $80.84	Professional	TC	$62.46	$77.09	$80.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $66.52 / $104.53	Professional		$40.22	$66.52	$104.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.07 / $22.20 / $30.56	Professional	26	$12.07	$22.20	$30.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.89 / $48.72 / $74.47	Professional	TC	$26.89	$48.72	$74.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $76.48 / $282.36	Professional		$40.79	$76.48	$282.36
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.34 / $24.24 / $90.81	Professional	26	$12.34	$24.24	$90.81
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.85 / $51.30 / $211.00	Professional	TC	$27.85	$51.30	$211.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.89 / $74.59 / $117.87	Professional		$41.89	$74.59	$117.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.99 / $22.97 / $32.02	Professional	26	$12.99	$22.97	$32.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.85 / $50.64 / $75.08	Professional	TC	$27.85	$50.64	$75.08