Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $15.85 / $25.70	Facility	26	$15.14	$15.85	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $125.89	Professional		$46.77	$58.88	$125.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.85 / $41.69	Professional	26	$12.88	$15.85	$41.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $47.86 / $138.04	Professional	TC	$37.15	$47.86	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $158.49	Professional		$107.15	$144.54	$158.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $34.67 / $38.90	Professional	26	$26.30	$34.67	$38.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $109.65 / $120.23	Professional	TC	$81.28	$109.65	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $95.50 / $147.91	Professional		$48.98	$95.50	$147.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $22.39 / $38.90	Professional	26	$13.80	$22.39	$38.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $72.44 / $112.20	Professional	TC	$37.15	$72.44	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $104.71 / $398.11	Professional		$57.54	$104.71	$398.11
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $28.84 / $93.33	Professional	26	$15.49	$28.84	$93.33
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $74.13 / $302.00	Professional	TC	$41.69	$74.13	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $95.50 / $144.54	Professional		$54.95	$95.50	$144.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $25.70 / $40.74	Professional	26	$15.49	$25.70	$40.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $69.18 / $107.15	Professional	TC	$38.90	$69.18	$107.15