Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.36 / $11.36 / $17.77	Facility	26	$11.36	$11.36	$17.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.24 / $38.65 / $43.47	Professional		$33.24	$38.65	$43.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.99 / $10.09 / $11.36	Professional	26	$8.99	$10.09	$11.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.25 / $28.56 / $32.84	Professional	TC	$24.25	$28.56	$32.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $99.81 / $104.67	Professional		$80.88	$99.81	$104.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.38 / $25.16 / $26.29	Professional	26	$20.38	$25.16	$26.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.49 / $74.65 / $78.29	Professional	TC	$60.49	$74.65	$78.29
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 $40.58 / $65.97 / $98.25	Professional		$40.58	$65.97	$98.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.70 / $19.03 / $26.19	Professional	26	$10.70	$19.03	$26.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.57 / $48.00 / $72.14	Professional	TC	$28.57	$48.00	$72.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $71.87 / $267.27	Professional		$38.40	$71.87	$267.27
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.06 / $21.51 / $85.85	Professional	26	$11.06	$21.51	$85.85
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.06 / $49.44 / $244.00	Professional	TC	$27.06	$49.44	$244.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.51 / $70.98 / $100.69	Professional		$39.51	$70.98	$100.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.55 / $20.95 / $28.37	Professional	26	$11.55	$20.95	$28.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.43 / $48.77 / $72.33	Professional	TC	$27.43	$48.77	$72.33