Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.97 / $14.97 / $23.60	Facility	26	$14.97	$14.97	$23.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.81 / $41.26 / $57.72	Professional		$36.81	$41.26	$57.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $13.32 / $16.12	Professional	26	$11.50	$13.32	$16.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $28.32 / $41.59	Professional	TC	$23.44	$28.32	$41.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.13 / $106.30 / $111.47	Professional		$86.13	$106.30	$111.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.96 / $33.27 / $34.77	Professional	26	$26.96	$33.27	$34.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $59.18 / $73.02 / $76.58	Professional	TC	$59.18	$73.02	$76.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.80 / $15.80 / $15.80	Facility	26	$15.80	$15.80	$15.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.48 / $73.17 / $107.27	Professional		$44.48	$73.17	$107.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.76 / $24.25 / $34.93	Professional	26	$13.76	$24.25	$34.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.83 / $48.74 / $71.80	Professional	TC	$29.83	$48.74	$71.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.49 / $78.61 / $282.23	Professional		$41.49	$78.61	$282.23
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.41 / $27.56 / $100.72	Professional	26	$14.41	$27.56	$100.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.08 / $48.83 / $254.00	Professional	TC	$27.08	$48.83	$254.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.49 / $75.22 / $108.80	Professional		$41.49	$75.22	$108.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.16 / $26.74 / $37.39	Professional	26	$15.16	$26.74	$37.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.28 / $45.39 / $63.02	Professional	TC	$26.28	$45.39	$63.02