Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.33 / $169.24 / $408.32	Facility		$55.33	$169.24	$408.32
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.48 / $8.48 / $13.10	Facility	26	$8.48	$8.48	$13.10
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.91 / $22.91 / $42.23	Facility	TC	$22.91	$22.91	$42.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $30.26 / $66.75	Professional		$25.74	$30.26	$66.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.43 / $8.19 / $30.26	Professional	26	$7.43	$8.19	$30.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $22.91 / $66.75	Professional	TC	$18.82	$22.91	$66.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.12 / $77.90 / $81.42	Professional		$63.12	$77.90	$81.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.12 / $18.67 / $19.51	Professional	26	$15.12	$18.67	$19.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.00 / $59.24 / $61.91	Professional	TC	$48.00	$59.24	$61.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $35.79 / $35.79	Facility		$35.79	$35.79	$35.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $27.22 / $27.22 / $27.22	Facility	TC	$27.22	$27.22	$27.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $51.72 / $78.68	Professional		$32.47	$51.72	$78.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.21 / $13.96 / $19.96	Professional	26	$8.21	$13.96	$19.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.05 / $38.00 / $57.40	Professional	TC	$23.05	$38.00	$57.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.39 / $49.45 / $63.44	Facility		$31.39	$49.45	$63.44
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $164.28 / $184.17 / $227.12	Facility	TC	$164.28	$184.17	$227.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $58.20 / $204.50	Professional		$30.17	$58.20	$204.50
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.75 / $16.89 / $74.30	Professional	26	$8.75	$16.89	$74.30
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $41.30 / $176.00	Professional	TC	$21.94	$41.30	$176.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $55.22 / $78.87	Professional		$31.76	$55.22	$78.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.08 / $15.61 / $20.04	Professional	26	$9.08	$15.61	$20.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.10 / $40.90 / $50.95	Professional	TC	$23.10	$40.90	$50.95