Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.00 / $11.00 / $17.19	Facility	26	$11.00	$11.00	$17.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.19 / $34.27 / $51.63	Professional		$29.19	$34.27	$51.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $10.29 / $23.40	Professional	26	$8.69	$10.29	$23.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.47 / $23.27 / $42.80	Professional	TC	$20.47	$23.27	$42.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.38 / $84.38 / $88.21	Professional		$68.38	$84.38	$88.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.72 / $24.34 / $25.45	Professional	26	$19.72	$24.34	$25.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.66 / $60.05 / $62.76	Professional	TC	$48.66	$60.05	$62.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.56 / $11.56 / $11.56	Facility	26	$11.56	$11.56	$11.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.06 / $59.69 / $87.76	Professional		$35.06	$59.69	$87.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.66 / $18.39 / $25.87	Professional	26	$10.66	$18.39	$25.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.09 / $40.60 / $59.77	Professional	TC	$25.09	$40.60	$59.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.59 / $62.37 / $223.92	Professional		$33.59	$62.37	$223.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.19 / $21.92 / $92.47	Professional	26	$11.19	$21.92	$92.47
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.29 / $41.20 / $211.00	Professional	TC	$22.29	$41.20	$211.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.59 / $60.32 / $86.11	Professional		$33.59	$60.32	$86.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.19 / $20.14 / $27.43	Professional	26	$11.19	$20.14	$27.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.29 / $39.15 / $58.68	Professional	TC	$22.29	$39.15	$58.68