Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.48 / $8.48 / $13.70	Facility	26	$8.48	$8.48	$13.70
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.75 / $20.75 / $37.57	Facility	TC	$20.75	$20.75	$37.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.42 / $27.26 / $38.44	Professional		$24.42	$27.26	$38.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.90 / $7.84 / $10.58	Professional	26	$6.90	$7.84	$10.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.67 / $19.57 / $35.67	Professional	TC	$17.67	$19.57	$35.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $72.64 / $75.48	Professional		$57.26	$72.64	$75.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.78 / $19.48 / $20.35	Professional	26	$15.78	$19.48	$20.35
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.74 / $52.74 / $55.12	Professional	TC	$42.74	$52.74	$55.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.19	Facility	26	$9.19	$9.19	$9.19
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $24.18 / $24.18 / $24.18	Facility	TC	$24.18	$24.18	$24.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.94 / $47.59 / $74.01	Professional		$28.94	$47.59	$74.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $13.09 / $20.39	Professional	26	$8.02	$13.09	$20.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.72 / $33.50 / $52.27	Professional	TC	$19.72	$33.50	$52.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.11 / $54.62 / $187.12	Professional		$28.11	$54.62	$187.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.28 / $16.05 / $51.02	Professional	26	$8.28	$16.05	$51.02
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.88 / $38.31 / $136.11	Professional	TC	$19.88	$38.31	$136.11
United Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $52.63 / $73.41	Professional		$29.59	$52.63	$73.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.30 / $15.60 / $20.04	Professional	26	$9.30	$15.60	$20.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.93 / $36.76 / $52.29	Professional	TC	$20.93	$36.76	$52.29