Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $12.88 / $21.88	Facility	26	$12.02	$12.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $97.72	Professional		$36.31	$45.71	$97.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.88 / $32.36	Professional	26	$10.00	$12.88	$32.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $33.11 / $91.20	Professional	TC	$25.70	$33.11	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $120.23	Professional		$81.28	$107.15	$120.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $28.84 / $31.62	Professional	26	$21.38	$28.84	$31.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $79.43 / $89.13	Professional	TC	$60.26	$79.43	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $112.20	Professional		$42.66	$70.79	$112.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $18.20 / $31.62	Professional	26	$11.48	$18.20	$31.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $53.70 / $79.43	Professional	TC	$30.90	$53.70	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $77.62 / $309.03	Professional		$44.67	$77.62	$309.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $24.55 / $95.50	Professional	26	$12.88	$24.55	$95.50
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $54.95 / $251.19	Professional	TC	$30.90	$54.95	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $112.20	Professional		$42.66	$70.79	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $21.38 / $33.88	Professional	26	$12.88	$21.38	$33.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $47.86 / $79.43	Professional	TC	$30.20	$47.86	$79.43