Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $225.88 / $406.32	Facility		$35.72	$225.88	$406.32
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.28 / $10.28 / $14.85	Facility	26	$10.28	$10.28	$14.85
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.44 / $25.44 / $47.47	Facility	TC	$25.44	$25.44	$47.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $35.72 / $52.47	Professional		$30.05	$35.72	$52.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $10.61 / $34.71	Professional	26	$7.51	$10.61	$34.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.67 / $25.44 / $37.21	Professional	TC	$22.67	$25.44	$37.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.01 / $87.64 / $91.60	Professional		$71.01	$87.64	$91.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.09 / $21.09 / $22.05	Professional	26	$17.09	$21.09	$22.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.92 / $66.54 / $69.55	Professional	TC	$53.92	$66.54	$69.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.26 / $40.26 / $40.26	Facility		$40.26	$40.26	$40.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $30.58 / $30.58 / $30.58	Facility	TC	$30.58	$30.58	$30.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.33 / $60.93 / $94.30	Professional		$38.33	$60.93	$94.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.75 / $15.86 / $25.81	Professional	26	$10.75	$15.86	$25.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.53 / $42.12 / $66.25	Professional	TC	$26.53	$42.12	$66.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $56.16 / $71.18	Facility		$35.72	$56.16	$71.18
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $183.71 / $183.71 / $772.00	Facility	TC	$183.71	$183.71	$772.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $71.44 / $230.47	Professional		$36.15	$71.44	$230.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.55 / $23.96 / $77.59	Professional	26	$11.55	$23.96	$77.59
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.14 / $46.97 / $214.00	Professional	TC	$25.14	$46.97	$214.00
United Facility/Professional Facility Modifier Low / Median / High Price $206.32 / $206.32 / $206.32	Facility		$206.32	$206.32	$206.32
United Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $65.30 / $89.78	Professional		$36.09	$65.30	$89.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $20.56 / $27.15	Professional	26	$10.47	$20.56	$27.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.87 / $46.63 / $64.12	Professional	TC	$25.87	$46.63	$64.12