Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.25 / $14.25 / $23.00	Facility	26	$14.25	$14.25	$23.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $46.91 / $64.42	Professional		$38.86	$46.91	$64.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.63 / $13.80 / $18.19	Professional	26	$11.63	$13.80	$18.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.23 / $32.65 / $46.22	Professional	TC	$27.23	$32.65	$46.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.03 / $116.03 / $121.63	Professional		$94.03	$116.03	$121.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $32.45 / $33.93	Professional	26	$26.30	$32.45	$33.93
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 $15.41 / $15.41 / $15.41	Facility	26	$15.41	$15.41	$15.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $76.51 / $115.15	Professional		$47.52	$76.51	$115.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.42 / $24.74 / $34.04	Professional	26	$13.42	$24.74	$34.04
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 $44.92 / $84.76 / $438.00	Professional		$44.92	$84.76	$438.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.93 / $26.96 / $97.41	Professional	26	$13.93	$26.96	$97.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $31.01 / $56.38 / $423.00	Professional	TC	$31.01	$56.38	$423.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $80.52 / $117.94	Professional		$44.92	$80.52	$117.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.44 / $26.29 / $35.57	Professional	26	$14.44	$26.29	$35.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.20 / $56.21 / $82.37	Professional	TC	$31.20	$56.21	$82.37