Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.81 / $12.81 / $20.68	Facility	26	$12.81	$12.81	$20.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.39 / $40.77 / $58.28	Professional		$35.39	$40.77	$58.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.75 / $12.00 / $37.79	Professional	26	$9.75	$12.00	$37.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.28 / $31.92 / $83.66	Professional	TC	$25.28	$31.92	$83.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.85 / $102.24 / $107.22	Professional		$82.85	$102.24	$107.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.67 / $29.21 / $30.53	Professional	26	$23.67	$29.21	$30.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $59.18 / $73.02 / $76.86	Professional	TC	$59.18	$73.02	$76.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.86 / $13.86 / $13.86	Facility	26	$13.86	$13.86	$13.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.31 / $66.54 / $104.59	Professional		$40.31	$66.54	$104.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.41 / $19.37 / $29.42	Professional	26	$11.41	$19.37	$29.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.90 / $48.06 / $75.61	Professional	TC	$28.90	$48.06	$75.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $76.16 / $271.52	Professional		$41.14	$76.16	$271.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.34 / $23.29 / $97.41	Professional	26	$12.34	$23.29	$97.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.15 / $54.24 / $210.00	Professional	TC	$28.15	$54.24	$210.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.59 / $75.28 / $102.46	Professional		$40.59	$75.28	$102.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.34 / $21.92 / $31.95	Professional	26	$12.34	$21.92	$31.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.83 / $51.53 / $70.51	Professional	TC	$29.83	$51.53	$70.51