Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $14.13 / $22.91	Facility	26	$12.88	$14.13	$22.91
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.84 / $33.11 / $54.95	Facility	TC	$28.84	$33.11	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $45.71 / $125.89	Professional		$34.67	$45.71	$125.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $16.98 / $42.66	Professional	26	$10.96	$16.98	$42.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $30.90 / $91.20	Professional	TC	$22.91	$30.90	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $114.82	Professional		$77.62	$102.33	$114.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $30.90 / $34.67	Professional	26	$23.44	$30.90	$34.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $72.44 / $81.28	Professional	TC	$54.95	$72.44	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $67.61 / $114.82	Professional		$40.74	$67.61	$114.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $21.38 / $38.90	Professional	26	$12.59	$21.38	$38.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $47.86 / $75.86	Professional	TC	$27.54	$47.86	$75.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $83.18 / $316.23	Professional		$42.66	$83.18	$316.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $29.51 / $107.15	Professional	26	$14.13	$29.51	$107.15
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $52.48 / $295.12	Professional	TC	$28.18	$52.48	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $74.13 / $107.15	Professional		$42.66	$74.13	$107.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $26.30 / $37.15	Professional	26	$14.13	$26.30	$37.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $47.86 / $72.44	Professional	TC	$28.18	$47.86	$72.44