Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.05 / $16.05 / $25.63	Facility	26	$16.05	$16.05	$25.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $57.81 / $91.09	Professional		$51.43	$57.81	$91.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.42 / $15.32 / $41.83	Professional	26	$13.42	$15.32	$41.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.11 / $43.83 / $136.16	Professional	TC	$37.11	$43.83	$136.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.30 / $150.93 / $157.75	Professional		$122.30	$150.93	$157.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.59 / $36.52 / $38.17	Professional	26	$29.59	$36.52	$38.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $92.71 / $114.41 / $119.58	Professional	TC	$92.71	$114.41	$119.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.32 / $17.32 / $17.32	Facility	26	$17.32	$17.32	$17.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.07 / $97.06 / $152.72	Professional		$59.07	$97.06	$152.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.03 / $24.60 / $39.03	Professional	26	$15.03	$24.60	$39.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.40 / $73.08 / $114.01	Professional	TC	$41.40	$73.08	$114.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.91 / $113.54 / $395.03	Professional		$56.91	$113.54	$395.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.23 / $30.38 / $93.99	Professional	26	$16.23	$30.38	$93.99
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $41.48 / $80.36 / $301.02	Professional	TC	$41.48	$80.36	$301.02
United Facility/Professional Professional Modifier Low / Median / High Price $59.91 / $108.17 / $149.81	Professional		$59.91	$108.17	$149.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.54 / $29.62 / $40.84	Professional	26	$17.54	$29.62	$40.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.67 / $77.43 / $109.72	Professional	TC	$43.67	$77.43	$109.72