Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $251.19 / $416.87	Facility		$85.11	$251.19	$416.87
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $7.94 / $14.79	Facility	26	$7.94	$7.94	$14.79
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.05 / $19.95 / $35.48	Facility	TC	$19.05	$19.95	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.11 / $67.61	Professional		$20.89	$33.11	$67.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.32 / $25.70	Professional	26	$7.08	$8.32	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $24.55 / $79.43	Professional	TC	$15.14	$24.55	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $72.44	Professional		$48.98	$64.57	$72.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $19.50 / $21.38	Professional	26	$14.45	$19.50	$21.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $45.71 / $50.12	Professional	TC	$34.67	$45.71	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $41.69 / $69.18	Professional		$27.54	$41.69	$69.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $12.30 / $20.89	Professional	26	$7.59	$12.30	$20.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $30.20 / $48.98	Professional	TC	$19.50	$30.20	$48.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $47.86 / $199.53	Facility		$28.18	$47.86	$199.53
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $102.33 / $158.49 / $204.17	Facility	TC	$102.33	$158.49	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $54.95 / $177.83	Professional		$27.54	$54.95	$177.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $17.78 / $77.62	Professional	26	$8.91	$17.78	$77.62
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $38.90 / $162.18	Professional	TC	$19.05	$38.90	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $50.12 / $69.18	Professional		$27.54	$50.12	$69.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $14.13 / $22.39	Professional	26	$8.51	$14.13	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $34.67 / $46.77	Professional	TC	$18.20	$34.67	$46.77