Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $35.72 / $113.44	Facility		$35.72	$35.72	$113.44
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.36 / $11.36 / $18.34	Facility	26	$11.36	$11.36	$18.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.19 / $34.54 / $65.70	Professional		$29.19	$34.54	$65.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $10.99 / $32.04	Professional	26	$9.41	$10.99	$32.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.76 / $24.36 / $72.90	Professional	TC	$19.76	$24.36	$72.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.33 / $89.26 / $93.29	Professional		$72.33	$89.26	$93.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.04 / $25.59 / $27.14	Professional	26	$21.04	$25.59	$27.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $63.29 / $66.38	Professional	TC	$51.29	$63.29	$66.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.01 / $41.01 / $41.01	Facility		$41.01	$41.01	$41.01
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 Professional Modifier Low / Median / High Price $36.06 / $59.09 / $89.63	Professional		$36.06	$59.09	$89.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $19.64 / $27.07	Professional	26	$10.72	$19.64	$27.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.72 / $40.09 / $61.28	Professional	TC	$23.72	$40.09	$61.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $54.82 / $66.00	Facility		$35.72	$54.82	$66.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $66.09 / $236.90	Professional		$34.29	$66.09	$236.90
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.46 / $21.51 / $82.56	Professional	26	$11.46	$21.51	$82.56
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.31 / $43.46 / $190.00	Professional	TC	$23.31	$43.46	$190.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $62.80 / $85.48	Professional		$36.09	$62.80	$85.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.46 / $20.38 / $34.46	Professional	26	$11.46	$20.38	$34.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.90 / $42.06 / $61.38	Professional	TC	$23.90	$42.06	$61.38