Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.89 / $13.89 / $22.73	Facility	26	$13.89	$13.89	$22.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.52 / $55.07 / $103.53	Professional		$38.52	$55.07	$103.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.32 / $13.40 / $36.49	Professional	26	$11.32	$13.40	$36.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.14 / $42.40 / $123.30	Professional	TC	$34.14	$42.40	$123.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.67 / $147.69 / $154.36	Professional		$119.67	$147.69	$154.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $32.19 / $33.93	Professional	26	$26.30	$32.19	$33.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.37 / $115.22 / $120.43	Professional	TC	$93.37	$115.22	$120.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.00 / $15.00 / $15.00	Facility	26	$15.00	$15.00	$15.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.23 / $93.38 / $146.04	Professional		$46.23	$93.38	$146.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.34 / $21.98 / $34.60	Professional	26	$13.34	$21.98	$34.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.09 / $73.59 / $112.48	Professional	TC	$38.09	$73.59	$112.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.83 / $103.82 / $379.94	Professional		$53.83	$103.82	$379.94
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.93 / $27.34 / $83.23	Professional	26	$13.93	$27.34	$83.23
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $40.46 / $75.04 / $296.70	Professional	TC	$40.46	$75.04	$296.70
United Facility/Professional Professional Modifier Low / Median / High Price $56.66 / $101.99 / $141.65	Professional		$56.66	$101.99	$141.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.07 / $25.75 / $34.67	Professional	26	$14.07	$25.75	$34.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.27 / $75.04 / $105.44	Professional	TC	$41.27	$75.04	$105.44