Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.23 / $16.23 / $25.63	Facility	26	$16.23	$16.23	$25.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $65.54 / $119.21	Professional		$56.75	$65.54	$119.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.42 / $15.32 / $56.07	Professional	26	$13.42	$15.32	$56.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.39 / $51.14 / $152.19	Professional	TC	$42.39	$51.14	$152.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $171.21 / $178.95	Professional		$138.74	$171.21	$178.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.59 / $36.52 / $38.17	Professional	26	$29.59	$36.52	$38.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $109.14 / $134.69 / $140.79	Professional	TC	$109.14	$134.69	$140.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.32 / $17.32 / $17.32	Facility	26	$17.32	$17.32	$17.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $108.10 / $172.95	Professional		$54.44	$108.10	$172.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.03 / $24.60 / $39.03	Professional	26	$15.03	$24.60	$39.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.28 / $85.77 / $134.25	Professional	TC	$47.28	$85.77	$134.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.14 / $125.36 / $453.03	Professional		$65.14	$125.36	$453.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.47 / $30.74 / $95.54	Professional	26	$16.47	$30.74	$95.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $49.37 / $93.00 / $357.49	Professional	TC	$49.37	$93.00	$357.49
United Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $118.73 / $171.10	Professional		$68.95	$118.73	$171.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.17 / $29.94 / $40.40	Professional	26	$17.17	$29.94	$40.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.37 / $88.03 / $130.69	Professional	TC	$49.37	$88.03	$130.69