Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.53 / $13.53 / $21.26	Facility	26	$13.53	$13.53	$21.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $43.95 / $60.92	Professional		$38.77	$43.95	$60.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.75 / $12.06 / $19.27	Professional	26	$10.75	$12.06	$19.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $31.96 / $59.42	Professional	TC	$27.55	$31.96	$59.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.05 / $113.60 / $119.13	Professional		$92.05	$113.60	$119.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.33 / $30.02 / $31.38	Professional	26	$24.33	$30.02	$31.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.72 / $83.58 / $87.64	Professional	TC	$67.72	$83.58	$87.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.26 / $14.26 / $14.26	Facility	26	$14.26	$14.26	$14.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.65 / $74.94 / $113.74	Professional		$46.65	$74.94	$113.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.41 / $22.84 / $31.43	Professional	26	$12.41	$22.84	$31.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.11 / $53.29 / $81.45	Professional	TC	$32.11	$53.29	$81.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.23 / $83.32 / $306.22	Professional		$44.23	$83.32	$306.22
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.02 / $25.61 / $95.76	Professional	26	$13.02	$25.61	$95.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $31.00 / $56.36 / $250.00	Professional	TC	$31.00	$56.36	$250.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $80.77 / $116.14	Professional		$45.83	$80.77	$116.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.71 / $24.56 / $33.77	Professional	26	$13.71	$24.56	$33.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.21 / $56.21 / $82.37	Professional	TC	$31.21	$56.21	$82.37