Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.33 / $15.33 / $24.48	Facility	26	$15.33	$15.33	$24.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $60.68 / $95.76	Professional		$52.00	$60.68	$95.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.24 / $15.71 / $40.22	Professional	26	$12.24	$15.71	$40.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.72 / $44.99 / $72.92	Professional	TC	$39.72	$44.99	$72.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.08 / $150.93 / $158.28	Professional		$120.08	$150.93	$158.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.28 / $34.89 / $36.47	Professional	26	$28.28	$34.89	$36.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $94.03 / $116.03 / $121.69	Professional	TC	$94.03	$116.03	$121.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.57 / $16.57 / $16.57	Facility	26	$16.57	$16.57	$16.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.36 / $102.95 / $156.26	Professional		$62.36	$102.95	$156.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.77 / $26.64 / $38.29	Professional	26	$15.77	$26.64	$38.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.17 / $76.23 / $116.44	Professional	TC	$45.17	$76.23	$116.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $112.44 / $399.42	Professional		$57.26	$112.44	$399.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.30 / $34.85 / $137.04	Professional	26	$18.30	$34.85	$137.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $42.51 / $76.48 / $356.00	Professional	TC	$42.51	$76.48	$356.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $110.29 / $150.72	Professional		$61.84	$110.29	$150.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.18 / $30.66 / $38.29	Professional	26	$17.18	$30.66	$38.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.75 / $75.77 / $112.44	Professional	TC	$44.75	$75.77	$112.44