Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.53 / $13.53 / $21.26	Facility	26	$13.53	$13.53	$21.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $40.00 / $53.23	Professional		$35.09	$40.00	$53.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.82 / $12.75 / $35.10	Professional	26	$11.82	$12.75	$35.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.26 / $27.95 / $81.00	Professional	TC	$23.26	$27.95	$81.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.82 / $104.68 / $109.40	Professional		$84.82	$104.68	$109.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.33 / $30.02 / $31.38	Professional	26	$24.33	$30.02	$31.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.49 / $74.65 / $78.03	Professional	TC	$60.49	$74.65	$78.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.26 / $14.26 / $14.26	Facility	26	$14.26	$14.26	$14.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $66.48 / $105.48	Professional		$40.53	$66.48	$105.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.41 / $19.89 / $31.95	Professional	26	$12.41	$19.89	$31.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.97 / $47.20 / $73.53	Professional	TC	$25.97	$47.20	$73.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $77.66 / $273.64	Professional		$40.11	$77.66	$273.64
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.12 / $25.29 / $78.91	Professional	26	$13.12	$25.29	$78.91
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.08 / $51.36 / $194.73	Professional	TC	$27.08	$51.36	$194.73
United Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $77.27 / $105.21	Professional		$40.11	$77.27	$105.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.64 / $24.68 / $33.06	Professional	26	$14.64	$24.68	$33.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.25 / $48.85 / $71.44	Professional	TC	$28.25	$48.85	$71.44