Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $6.03 / $10.96	Facility	26	$6.03	$6.03	$10.96
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.89 / $28.84 / $134.90	Facility	TC	$20.89	$28.84	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $31.62 / $70.79	Professional		$13.49	$31.62	$70.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $7.94 / $23.44	Professional	26	$5.01	$7.94	$23.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $26.30 / $70.79	Professional	TC	$19.05	$26.30	$70.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $74.13	Professional		$50.12	$67.61	$74.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $14.79 / $16.22	Professional	26	$10.96	$14.79	$16.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $52.48 / $58.88	Professional	TC	$39.81	$52.48	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $43.65 / $74.13	Professional		$25.12	$43.65	$74.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $9.12 / $15.85	Professional	26	$5.75	$9.12	$15.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $34.67 / $58.88	Professional	TC	$18.20	$34.67	$58.88
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $57.54 / $75.86 / $109.65	Facility	TC	$57.54	$75.86	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $50.12 / $186.21	Professional		$26.92	$50.12	$186.21
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $12.59 / $54.95	Professional	26	$6.61	$12.59	$54.95
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $39.81 / $147.91	Professional	TC	$20.42	$39.81	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $46.77 / $67.61	Professional		$26.30	$46.77	$67.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $10.72 / $16.98	Professional	26	$6.46	$10.72	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $36.31 / $52.48	Professional	TC	$19.95	$36.31	$52.48