Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $7.94 / $14.79	Facility	26	$7.94	$7.94	$14.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $74.13	Professional		$30.20	$38.90	$74.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.91 / $29.51	Professional	26	$7.08	$8.91	$29.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $30.20 / $87.10	Professional	TC	$22.39	$30.20	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $102.33	Professional		$69.18	$93.33	$102.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $19.50 / $21.38	Professional	26	$14.45	$19.50	$21.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $74.13 / $81.28	Professional	TC	$54.95	$74.13	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $60.26 / $95.50	Professional		$30.90	$60.26	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $12.30 / $21.38	Professional	26	$7.59	$12.30	$21.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $48.98 / $75.86	Professional	TC	$23.44	$48.98	$75.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $66.07 / $263.03	Professional		$37.15	$66.07	$263.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $16.22 / $83.18	Professional	26	$8.51	$16.22	$83.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $51.29 / $208.93	Professional	TC	$28.84	$51.29	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $61.66 / $95.50	Professional		$32.36	$61.66	$95.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $14.45 / $22.39	Professional	26	$8.51	$14.45	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $45.71 / $75.86	Professional	TC	$22.91	$45.71	$75.86