Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $12.88 / $22.39	Facility	26	$12.88	$12.88	$22.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $43.65 / $100.00	Professional		$26.92	$43.65	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $19.05 / $35.48	Professional	26	$10.96	$19.05	$35.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $42.66 / $95.50	Professional	TC	$23.99	$42.66	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $97.72 / $107.15	Professional		$74.13	$97.72	$107.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $29.51 / $32.36	Professional	26	$22.39	$29.51	$32.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $67.61 / $75.86	Professional	TC	$51.29	$67.61	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $64.57 / $102.33	Professional		$38.02	$64.57	$102.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $18.62 / $32.36	Professional	26	$11.75	$18.62	$32.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $44.67 / $69.18	Professional	TC	$25.70	$44.67	$69.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $69.18 / $269.15	Professional		$39.81	$69.18	$269.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $25.70 / $93.33	Professional	26	$13.49	$25.70	$93.33
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $46.77 / $229.09	Professional	TC	$26.30	$46.77	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $63.10 / $100.00	Professional		$39.81	$63.10	$100.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $21.88 / $34.67	Professional	26	$12.88	$21.88	$34.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $40.74 / $67.61	Professional	TC	$25.70	$40.74	$67.61