Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.89 / $13.89 / $22.43	Facility	26	$13.89	$13.89	$22.43
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.60 / $27.60 / $50.38	Facility	TC	$27.60	$27.60	$50.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $39.65 / $44.51	Professional		$34.22	$39.65	$44.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.32 / $13.17 / $14.49	Professional	26	$11.32	$13.17	$14.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.85 / $27.01 / $31.06	Professional	TC	$22.85	$27.01	$31.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.85 / $102.24 / $107.22	Professional		$82.85	$102.24	$107.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.64 / $31.65 / $33.07	Professional	26	$25.64	$31.65	$33.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.21 / $70.59 / $74.03	Professional	TC	$57.21	$70.59	$74.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.00 / $15.00 / $15.00	Facility	26	$15.00	$15.00	$15.00
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $32.79 / $32.79 / $32.79	Facility	TC	$32.79	$32.79	$32.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.06 / $63.95 / $104.76	Professional		$36.06	$63.95	$104.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.14 / $20.94 / $33.71	Professional	26	$12.14	$20.94	$33.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.98 / $44.66 / $71.09	Professional	TC	$23.98	$44.66	$71.09
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $110.22 / $110.22 / $110.22	Facility	TC	$110.22	$110.22	$110.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.77 / $76.61 / $271.47	Professional		$39.77	$76.61	$271.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.59 / $26.97 / $81.06	Professional	26	$13.59	$26.97	$81.06
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.40 / $49.92 / $190.40	Professional	TC	$26.40	$49.92	$190.40
United Facility/Professional Professional Modifier Low / Median / High Price $41.86 / $74.39 / $113.99	Professional		$41.86	$74.39	$113.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.58 / $25.54 / $34.67	Professional	26	$15.58	$25.54	$34.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.46 / $47.42 / $69.61	Professional	TC	$27.46	$47.42	$69.61