Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.97 / $14.97 / $24.17	Facility	26	$14.97	$14.97	$24.17
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $37.35 / $37.35 / $69.59	Facility	TC	$37.35	$37.35	$69.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.27 / $50.23 / $67.61	Professional		$44.27	$50.23	$67.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.39 / $14.02 / $39.15	Professional	26	$13.39	$14.02	$39.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.85 / $36.60 / $116.59	Professional	TC	$30.85	$36.60	$116.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.52 / $131.44 / $137.38	Professional		$106.52	$131.44	$137.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.62 / $34.08 / $35.61	Professional	26	$27.62	$34.08	$35.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $78.91 / $97.37 / $101.78	Professional	TC	$78.91	$97.37	$101.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.14 / $16.14 / $16.14	Facility	26	$16.14	$16.14	$16.14
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $44.74 / $44.74 / $44.74	Facility	TC	$44.74	$44.74	$44.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.92 / $83.60 / $132.44	Professional		$50.92	$83.60	$132.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.09 / $22.51 / $36.36	Professional	26	$14.09	$22.51	$36.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.42 / $61.92 / $96.20	Professional	TC	$34.42	$61.92	$96.20
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $113.09 / $120.71 / $134.94	Facility	TC	$113.09	$120.71	$134.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.06 / $96.63 / $345.18	Professional		$50.06	$96.63	$345.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.16 / $28.71 / $89.67	Professional	26	$15.16	$28.71	$89.67
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $35.65 / $67.86 / $255.46	Professional	TC	$35.65	$67.86	$255.46
United Facility/Professional Professional Modifier Low / Median / High Price $50.06 / $96.63 / $131.59	Professional		$50.06	$96.63	$131.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.40 / $27.36 / $37.39	Professional	26	$15.40	$27.36	$37.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.65 / $63.50 / $83.13	Professional	TC	$35.65	$63.50	$83.13