Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.96 / $18.20	Facility	26	$10.00	$10.96	$18.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.90 / $83.18	Professional		$31.62	$38.90	$83.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.00 / $21.88	Professional	26	$7.94	$10.00	$21.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $28.18 / $53.70	Professional	TC	$22.91	$28.18	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $104.71	Professional		$72.44	$95.50	$104.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $23.99 / $26.30	Professional	26	$18.20	$23.99	$26.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $70.79 / $79.43	Professional	TC	$53.70	$70.79	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $63.10 / $97.72	Professional		$37.15	$63.10	$97.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $15.14 / $26.92	Professional	26	$9.33	$15.14	$26.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $46.77 / $70.79	Professional	TC	$26.92	$46.77	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $67.61 / $269.15	Professional		$38.02	$67.61	$269.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $20.89 / $85.11	Professional	26	$10.96	$20.89	$85.11
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $48.98 / $245.47	Professional	TC	$26.92	$48.98	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $61.66 / $97.72	Professional		$38.02	$61.66	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $18.20 / $28.18	Professional	26	$10.96	$18.20	$28.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $42.66 / $70.79	Professional	TC	$26.92	$42.66	$70.79