Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.51 / $6.51 / $12.42	Facility	26	$6.51	$6.51	$12.42
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $15.72 / $28.07 / $167.45	Facility	TC	$15.72	$28.07	$167.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.76 / $26.85 / $29.47	Professional		$18.76	$26.85	$29.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.45 / $7.72 / $8.19	Professional	26	$5.45	$7.72	$8.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.32 / $19.00 / $21.27	Professional	TC	$13.32	$19.00	$21.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $26.95 / $37.01	Professional		$8.05	$26.95	$37.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.71 / $12.71 / $12.71	Facility	26	$12.71	$12.71	$12.71
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $25.95 / $25.95 / $25.95	Facility	TC	$25.95	$25.95	$25.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $25.52 / $39.43	Professional		$21.07	$25.52	$39.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.69 / $7.91 / $12.04	Professional	26	$6.69	$7.91	$12.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.38 / $17.77 / $27.81	Professional	TC	$14.38	$17.77	$27.81
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $18.72 / $70.00 / $70.00	Facility	26	$18.72	$70.00	$70.00
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $45.82 / $98.42 / $98.42	Facility	TC	$45.82	$98.42	$98.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.42 / $29.59 / $187.12	Professional		$24.42	$29.59	$187.12
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $9.10 / $51.02	Professional	26	$7.36	$9.10	$51.02
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.55 / $20.46 / $136.11	Professional	TC	$16.55	$20.46	$136.11
United Facility/Professional Professional Modifier Low / Median / High Price $23.86 / $29.56 / $44.85	Professional		$23.86	$29.56	$44.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $8.81 / $12.99	Professional	26	$7.36	$8.81	$12.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.14 / $19.88 / $31.40	Professional	TC	$16.14	$19.88	$31.40