Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $12.88 / $23.44	Facility	26	$12.88	$12.88	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $69.18 / $131.83	Professional		$42.66	$69.18	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $20.42 / $48.98	Professional	26	$10.96	$20.42	$48.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $57.54 / $131.83	Professional	TC	$33.11	$57.54	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $138.04	Professional		$93.33	$125.89	$138.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $30.20 / $33.11	Professional	26	$22.91	$30.20	$33.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $95.50 / $104.71	Professional	TC	$72.44	$95.50	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $83.18 / $131.83	Professional		$47.86	$83.18	$131.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $19.50 / $36.31	Professional	26	$12.02	$19.50	$36.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $63.10 / $97.72	Professional	TC	$34.67	$63.10	$97.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $87.10 / $346.74	Professional		$48.98	$87.10	$346.74
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $27.54 / $114.82	Professional	26	$13.49	$27.54	$114.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $61.66 / $257.04	Professional	TC	$35.48	$61.66	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $77.62 / $125.89	Professional		$48.98	$77.62	$125.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $23.99 / $35.48	Professional	26	$13.49	$23.99	$35.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $53.70 / $93.33	Professional	TC	$34.67	$53.70	$93.33