Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.75 / $7.75 / $12.53	Facility	26	$7.75	$7.75	$12.53
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $13.53 / $13.53 / $24.75	Facility	TC	$13.53	$13.53	$24.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.94 / $21.28 / $33.17	Professional		$17.94	$21.28	$33.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.33 / $7.12 / $11.39	Professional	26	$6.33	$7.12	$11.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.77 / $14.78 / $24.20	Professional	TC	$11.77	$14.78	$24.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $52.74 / $55.12	Professional		$37.71	$52.74	$55.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.46 / $17.85 / $18.66	Professional	26	$14.46	$17.85	$18.66
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $55.12 / $100.56 / $110.24	Professional	50	$55.12	$100.56	$110.24
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.76 / $34.89 / $36.47	Professional	TC	$27.76	$34.89	$36.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.46 / $8.46 / $8.46	Facility	26	$8.46	$8.46	$8.46
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $16.03 / $16.03 / $16.03	Facility	TC	$16.03	$16.03	$16.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $38.24 / $55.88	Professional		$22.09	$38.24	$55.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.34 / $13.32 / $18.63	Professional	26	$7.34	$13.32	$18.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.35 / $26.52 / $37.54	Professional	TC	$17.35	$26.52	$37.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $43.70 / $172.00	Professional		$22.91	$43.70	$172.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.61 / $15.37 / $72.64	Professional	26	$7.61	$15.37	$72.64
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $15.03 / $28.33 / $148.00	Professional	TC	$15.03	$28.33	$148.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $40.36 / $49.06	Professional		$25.30	$40.36	$49.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.91 / $14.35 / $19.29	Professional	26	$7.91	$14.35	$19.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.71 / $25.94 / $40.32	Professional	TC	$13.71	$25.94	$40.32