Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $263.03 / $389.05	Facility		$63.10	$263.03	$389.05
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $8.91 / $14.79	Facility	26	$7.94	$8.91	$14.79
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $15.85 / $30.20 / $213.80	Facility	TC	$15.85	$30.20	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.12 / $52.48	Professional		$17.78	$25.12	$52.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $8.71 / $24.55	Professional	26	$7.76	$8.71	$24.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $16.60 / $46.77	Professional	TC	$10.00	$16.60	$46.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $60.26 / $67.61	Professional		$45.71	$60.26	$67.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $19.95 / $22.39	Professional	26	$15.14	$19.95	$22.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $39.81 / $44.67	Professional	TC	$30.20	$39.81	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $38.90 / $61.66	Professional		$20.89	$38.90	$61.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.59 / $22.39	Professional	26	$7.94	$12.59	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $26.30 / $41.69	Professional	TC	$12.59	$26.30	$41.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $109.65 / $190.55	Facility		$30.90	$109.65	$190.55
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $83.18 / $190.55 / $239.88	Facility	TC	$83.18	$190.55	$239.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $37.15 / $165.96	Professional		$21.38	$37.15	$165.96
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $17.78 / $44.67	Professional	26	$12.88	$17.78	$44.67
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $20.89 / $109.65	Professional	TC	$12.59	$20.89	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $35.48 / $61.66	Professional		$21.88	$35.48	$61.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.79 / $23.44	Professional	26	$8.91	$14.79	$23.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $19.95 / $38.90	Professional	TC	$11.75	$19.95	$38.90