Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $288.40 / $512.86	Facility		$97.72	$288.40	$512.86
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 Facility Modifier TC Low / Median / High Price $25.70 / $30.20 / $134.90	Facility	TC	$25.70	$30.20	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $53.70 / $97.72	Professional		$32.36	$53.70	$97.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $16.22 / $33.11	Professional	26	$8.91	$16.22	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $44.67 / $81.28	Professional	TC	$23.99	$44.67	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $102.33	Professional		$69.18	$91.20	$102.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $24.55 / $27.54	Professional	26	$18.62	$24.55	$27.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $67.61 / $74.13	Professional	TC	$50.12	$67.61	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $60.26 / $95.50	Professional		$35.48	$60.26	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $15.85 / $26.92	Professional	26	$9.77	$15.85	$26.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $44.67 / $69.18	Professional	TC	$25.12	$44.67	$69.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $64.57 / $131.83	Facility		$38.02	$64.57	$131.83
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $87.10 / $125.89 / $162.18	Facility	TC	$87.10	$125.89	$162.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $64.57 / $257.04	Professional		$36.31	$64.57	$257.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $21.38 / $91.20	Professional	26	$11.48	$21.38	$91.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $45.71 / $194.98	Professional	TC	$25.70	$45.71	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $57.54 / $93.33	Professional		$36.31	$57.54	$93.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $18.20 / $28.84	Professional	26	$10.96	$18.20	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $38.90 / $66.07	Professional	TC	$24.55	$38.90	$66.07