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 / $26.23	Facility	26	$16.42	$16.42	$26.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $51.60 / $74.95	Professional		$44.64	$51.60	$74.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $15.66 / $48.06	Professional	26	$13.58	$15.66	$48.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.92 / $38.60 / $105.02	Professional	TC	$30.92	$38.60	$105.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.23 / $127.39 / $133.46	Professional		$103.23	$127.39	$133.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.25 / $37.33 / $39.01	Professional	26	$30.25	$37.33	$39.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.98 / $90.06 / $94.46	Professional	TC	$72.98	$90.06	$94.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.71 / $17.71 / $17.71	Facility	26	$17.71	$17.71	$17.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.97 / $88.04 / $130.13	Professional		$52.97	$88.04	$130.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.37 / $28.26 / $39.29	Professional	26	$15.37	$28.26	$39.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.52 / $60.00 / $90.53	Professional	TC	$36.52	$60.00	$90.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $96.64 / $338.57	Professional		$51.97	$96.64	$338.57
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.77 / $31.43 / $117.24	Professional	26	$15.77	$31.43	$117.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $34.96 / $63.56 / $291.00	Professional	TC	$34.96	$63.56	$291.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $95.11 / $129.74	Professional		$51.97	$95.11	$129.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.23 / $29.68 / $41.01	Professional	26	$16.23	$29.68	$41.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.36 / $63.56 / $78.30	Professional	TC	$35.36	$63.56	$78.30