Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.33 / $15.33 / $25.06	Facility	26	$15.33	$15.33	$25.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $65.23 / $103.64	Professional		$52.00	$65.23	$103.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.51 / $15.33 / $22.78	Professional	26	$12.51	$15.33	$22.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.17 / $50.26 / $80.86	Professional	TC	$39.17	$50.26	$80.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.99 / $149.30 / $156.06	Professional		$120.99	$149.30	$156.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.93 / $35.49 / $37.32	Professional	26	$28.93	$35.49	$37.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $92.05 / $113.60 / $119.09	Professional	TC	$92.05	$113.60	$119.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.57 / $16.57 / $16.57	Facility	26	$16.57	$16.57	$16.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.66 / $106.55 / $154.91	Professional		$67.66	$106.55	$154.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.69 / $27.28 / $38.15	Professional	26	$15.69	$27.28	$38.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.49 / $76.64 / $117.05	Professional	TC	$47.49	$76.64	$117.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $118.41 / $399.42	Professional		$60.27	$118.41	$399.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.82 / $31.06 / $151.90	Professional	26	$16.82	$31.06	$151.90
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $44.75 / $87.26 / $307.58	Professional	TC	$44.75	$87.26	$307.58
United Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $110.65 / $150.72	Professional		$60.27	$110.65	$150.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.03 / $28.55 / $39.90	Professional	26	$16.03	$28.55	$39.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.83 / $82.36 / $112.44	Professional	TC	$45.83	$82.36	$112.44