Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.56 / $9.56 / $15.44	Facility	26	$9.56	$9.56	$15.44
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.19 / $22.19 / $42.23	Facility	TC	$22.19	$22.19	$42.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $30.72 / $38.95	Professional		$26.78	$30.72	$38.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $8.83 / $18.28	Professional	26	$7.78	$8.83	$18.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.32 / $21.87 / $42.04	Professional	TC	$18.32	$21.87	$42.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $81.14 / $84.81	Professional		$65.75	$81.14	$84.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.75 / $21.91 / $22.90	Professional	26	$17.75	$21.91	$22.90
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 26 Low / Median / High Price $10.36 / $10.36 / $10.36	Facility	26	$10.36	$10.36	$10.36
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $27.15 / $27.15 / $27.15	Facility	TC	$27.15	$27.15	$27.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.84 / $50.75 / $81.34	Professional		$30.84	$50.75	$81.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $14.66 / $23.13	Professional	26	$9.02	$14.66	$23.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.45 / $37.56 / $58.15	Professional	TC	$20.45	$37.56	$58.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $59.42 / $208.77	Professional		$30.51	$59.42	$208.77
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $18.11 / $57.45	Professional	26	$9.33	$18.11	$57.45
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.26 / $40.58 / $151.32	Professional	TC	$21.26	$40.58	$151.32
United Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $57.82 / $93.58	Professional		$32.79	$57.82	$93.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.67 / $17.52 / $23.84	Professional	26	$9.67	$17.52	$23.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.28 / $38.54 / $55.91	Professional	TC	$22.28	$38.54	$55.91