Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.45 / $12.45 / $20.11	Facility	26	$12.45	$12.45	$20.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.78 / $43.30 / $49.57	Professional		$35.78	$43.30	$49.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $11.34 / $12.45	Professional	26	$9.41	$11.34	$12.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.60 / $30.98 / $38.59	Professional	TC	$25.60	$30.98	$38.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.11 / $108.73 / $113.65	Professional		$88.11	$108.73	$113.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.01 / $28.40 / $29.69	Professional	26	$23.01	$28.40	$29.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $65.09 / $80.33 / $83.97	Professional	TC	$65.09	$80.33	$83.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.03 / $76.78 / $109.45	Professional		$46.03	$76.78	$109.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.74 / $19.64 / $28.18	Professional	26	$11.74	$19.64	$28.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.19 / $57.15 / $79.20	Professional	TC	$33.19	$57.15	$79.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.07 / $78.61 / $286.68	Professional		$43.07	$78.61	$286.68
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.00 / $22.68 / $107.32	Professional	26	$12.00	$22.68	$107.32
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $31.01 / $56.38 / $267.00	Professional	TC	$31.01	$56.38	$267.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $78.30 / $108.85	Professional		$43.67	$78.30	$108.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.06 / $21.92 / $31.05	Professional	26	$12.06	$21.92	$31.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.01 / $56.38 / $77.80	Professional	TC	$31.01	$56.38	$77.80