Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.63 / $298.05 / $423.85	Facility		$82.63	$298.05	$423.85
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $14.85	Facility	26	$9.19	$9.19	$14.85
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $16.42 / $309.10 / $386.99	Facility	TC	$16.42	$309.10	$386.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.57 / $27.14	Professional		$17.78	$23.57	$27.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.01 / $8.61 / $24.30	Professional	26	$8.01	$8.61	$24.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.69 / $15.33 / $29.98	Professional	TC	$9.69	$15.33	$29.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $60.34 / $66.15	Professional		$22.05	$60.34	$66.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.09 / $20.64 / $22.05	Professional	26	$17.09	$20.64	$22.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.47 / $42.20 / $44.10	Professional	TC	$36.47	$42.20	$44.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.01 / $29.01 / $29.01	Facility		$29.01	$29.01	$29.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.67 / $9.67 / $9.67	Facility	26	$9.67	$9.67	$9.67
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $19.39 / $19.39 / $19.39	Facility	TC	$19.39	$19.39	$19.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $39.08 / $64.59	Professional		$20.92	$39.08	$64.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.01 / $14.13 / $22.18	Professional	26	$8.01	$14.13	$22.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.72 / $26.39 / $41.96	Professional	TC	$11.72	$26.39	$41.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $41.63 / $163.34	Facility		$23.58	$41.63	$163.34
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $82.55 / $194.23 / $243.83	Facility	TC	$82.55	$194.23	$243.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.75 / $41.81 / $165.42	Professional		$21.75	$41.81	$165.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.84 / $17.86 / $55.28	Professional	26	$12.84	$17.86	$55.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $12.66 / $27.90 / $110.07	Professional	TC	$12.66	$27.90	$110.07
United Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $44.08 / $64.27	Professional		$23.93	$44.08	$64.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $16.95 / $22.91	Professional	26	$9.38	$16.95	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.28 / $21.20 / $36.45	Professional	TC	$13.28	$21.20	$36.45