Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.39 / $18.39 / $29.41	Facility	26	$18.39	$18.39	$29.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.64 / $72.25 / $83.58	Professional		$61.64	$72.25	$83.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.07 / $16.59 / $30.74	Professional	26	$15.07	$16.59	$30.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.00 / $54.32 / $65.91	Professional	TC	$46.00	$54.32	$65.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.80 / $194.74 / $203.55	Professional		$157.80	$194.74	$203.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.54 / $41.38 / $43.26	Professional	26	$33.54	$41.38	$43.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $124.27 / $153.36 / $160.30	Professional	TC	$124.27	$153.36	$160.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.60 / $19.60 / $19.60	Facility	26	$19.60	$19.60	$19.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $123.32 / $200.17	Professional		$70.59	$123.32	$200.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.13 / $27.23 / $43.66	Professional	26	$17.13	$27.23	$43.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.32 / $97.95 / $153.08	Professional	TC	$51.32	$97.95	$153.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.87 / $137.91 / $507.76	Professional		$74.87	$137.91	$507.76
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.89 / $33.86 / $109.02	Professional	26	$17.89	$33.86	$109.02
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $55.48 / $104.15 / $398.67	Professional	TC	$55.48	$104.15	$398.67
United Facility/Professional Professional Modifier Low / Median / High Price $74.87 / $136.12 / $179.00	Professional		$74.87	$136.12	$179.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.77 / $33.47 / $45.86	Professional	26	$18.77	$33.47	$45.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.94 / $100.88 / $141.86	Professional	TC	$57.94	$100.88	$141.86