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 / $18.20	Facility	26	$10.00	$10.96	$18.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.02 / $89.13	Professional		$30.90	$38.02	$89.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $14.45 / $30.90	Professional	26	$8.13	$14.45	$30.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.84 / $79.43	Professional	TC	$21.88	$28.84	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $102.33	Professional		$69.18	$91.20	$102.33
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 $50.12 / $66.07 / $74.13	Professional	TC	$50.12	$66.07	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $60.26 / $91.20	Professional		$35.48	$60.26	$91.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $15.85 / $24.55	Professional	26	$8.71	$15.85	$24.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $43.65 / $67.61	Professional	TC	$25.12	$43.65	$67.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $64.57 / $251.19	Professional		$36.31	$64.57	$251.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $20.89 / $97.72	Professional	26	$11.22	$20.89	$97.72
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $44.67 / $181.97	Professional	TC	$25.12	$44.67	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $56.23 / $93.33	Professional		$35.48	$56.23	$93.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $16.22 / $28.84	Professional	26	$9.55	$16.22	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $39.81 / $64.57	Professional	TC	$25.12	$39.81	$64.57