Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $316.08 / $425.81	Facility		$80.45	$316.08	$425.81
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.00 / $14.74 / $18.69	Facility	26	$11.00	$14.74	$18.69
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.25 / $311.74 / $358.78	Facility	TC	$29.25	$311.74	$358.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $32.83 / $101.46	Professional		$27.58	$32.83	$101.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.66 / $10.64 / $34.54	Professional	26	$9.66	$10.64	$34.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.92 / $23.14 / $174.60	Professional	TC	$17.92	$23.14	$174.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.41 / $81.96 / $85.66	Professional		$66.41	$81.96	$85.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.38 / $25.16 / $26.29	Professional	26	$20.38	$25.16	$26.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.03 / $56.80 / $59.37	Professional	TC	$46.03	$56.80	$59.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.65 / $37.65 / $37.65	Facility		$37.65	$37.65	$37.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $11.95	Facility	26	$11.95	$11.95	$11.95
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $26.10 / $26.10 / $26.10	Facility	TC	$26.10	$26.10	$26.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $51.26 / $83.30	Professional		$28.55	$51.26	$83.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.57 / $16.75 / $26.61	Professional	26	$9.57	$16.75	$26.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.98 / $36.03 / $56.53	Professional	TC	$18.98	$36.03	$56.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.71 / $58.25 / $192.18	Facility		$33.71	$58.25	$192.18
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $101.76 / $130.36 / $259.74	Facility	TC	$101.76	$130.36	$259.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $58.84 / $215.20	Professional		$31.54	$58.84	$215.20
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.37 / $20.62 / $57.60	Professional	26	$17.37	$20.62	$57.60
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.91 / $39.15 / $149.15	Professional	TC	$20.91	$39.15	$149.15
United Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $57.89 / $82.44	Professional		$33.20	$57.89	$82.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.19 / $20.11 / $27.58	Professional	26	$11.19	$20.11	$27.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.53 / $38.47 / $66.06	Professional	TC	$21.53	$38.47	$66.06