Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.89 / $13.89 / $22.43	Facility	26	$13.89	$13.89	$22.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.88 / $91.36	Professional		$44.67	$50.88	$91.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.56 / $13.89 / $49.50	Professional	26	$11.56	$13.89	$49.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.71 / $41.52 / $240.30	Professional	TC	$33.71	$41.52	$240.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.52 / $131.44 / $137.38	Professional		$106.52	$131.44	$137.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.64 / $31.37 / $33.07	Professional	26	$25.64	$31.37	$33.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $80.88 / $99.81 / $104.32	Professional	TC	$80.88	$99.81	$104.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.65 / $14.65 / $14.65	Facility	26	$14.65	$14.65	$14.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.97 / $86.58 / $131.47	Professional		$52.97	$86.58	$131.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.79 / $24.11 / $33.71	Professional	26	$13.79	$24.11	$33.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.92 / $63.44 / $97.82	Professional	TC	$35.92	$63.44	$97.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $92.25 / $343.08	Professional		$50.00	$92.25	$343.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.97 / $31.64 / $113.92	Professional	26	$15.97	$31.64	$113.92
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $35.32 / $63.59 / $259.85	Professional	TC	$35.32	$63.59	$259.85
United Facility/Professional Professional Modifier Low / Median / High Price $48.69 / $88.79 / $127.97	Professional		$48.69	$88.79	$127.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.18 / $25.62 / $43.62	Professional	26	$15.18	$25.62	$43.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.32 / $59.26 / $93.30	Professional	TC	$35.32	$59.26	$93.30