Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.42 / $16.42 / $25.34	Facility	26	$16.42	$16.42	$25.34
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.69 / $28.69 / $53.87	Facility	TC	$28.69	$28.69	$53.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $43.48 / $48.75	Professional		$36.79	$43.48	$48.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.08 / $15.17 / $16.69	Professional	26	$13.08	$15.17	$16.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $28.35 / $33.54	Professional	TC	$23.51	$28.35	$33.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $111.17 / $116.19	Professional		$90.08	$111.17	$116.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.93 / $35.49 / $37.32	Professional	26	$28.93	$35.49	$37.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.04 / $75.45 / $79.14	Professional	TC	$60.04	$75.45	$79.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $16.60 / $16.60	Facility	26	$16.60	$16.60	$16.60
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $35.04 / $35.04 / $35.04	Facility	TC	$35.04	$35.04	$35.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.18 / $69.53 / $114.80	Professional		$39.18	$69.53	$114.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.26 / $23.55 / $38.15	Professional	26	$14.26	$23.55	$38.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.92 / $47.71 / $76.77	Professional	TC	$24.92	$47.71	$76.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.20 / $83.29 / $297.38	Professional		$43.20	$83.29	$297.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.87 / $31.07 / $93.99	Professional	26	$15.87	$31.07	$93.99
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.43 / $51.34 / $203.39	Professional	TC	$27.43	$51.34	$203.39
United Facility/Professional Professional Modifier Low / Median / High Price $46.22 / $83.29 / $102.78	Professional		$46.22	$83.29	$102.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $30.29 / $41.01	Professional	26	$16.60	$30.29	$41.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.43 / $48.77 / $72.33	Professional	TC	$27.43	$48.77	$72.33