Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.96 / $19.05	Facility	26	$10.00	$10.96	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $46.77 / $95.50	Professional		$32.36	$46.77	$95.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.13 / $38.02	Professional	26	$8.91	$14.13	$38.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $33.11 / $83.18	Professional	TC	$22.91	$33.11	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $104.71	Professional		$70.79	$93.33	$104.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $24.55 / $27.54	Professional	26	$18.62	$24.55	$27.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $69.18 / $77.62	Professional	TC	$52.48	$69.18	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $63.10 / $107.15	Professional		$36.31	$63.10	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $15.85 / $26.92	Professional	26	$9.77	$15.85	$26.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $45.71 / $79.43	Professional	TC	$26.30	$45.71	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $72.44 / $263.03	Professional		$38.02	$72.44	$263.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $20.89 / $117.49	Professional	26	$10.96	$20.89	$117.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $53.70 / $199.53	Professional	TC	$27.54	$53.70	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $67.61 / $100.00	Professional		$38.02	$67.61	$100.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $18.20 / $28.84	Professional	26	$10.96	$18.20	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $48.98 / $74.13	Professional	TC	$27.54	$48.98	$74.13