Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $208.93 / $416.87	Facility		$58.88	$208.93	$416.87
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $8.91 / $15.14	Facility	26	$7.94	$8.91	$15.14
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.95 / $37.15 / $213.80	Facility	TC	$19.95	$37.15	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $40.74 / $79.43	Professional		$23.99	$40.74	$79.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.71 / $24.55	Professional	26	$7.08	$8.71	$24.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $26.92 / $58.88	Professional	TC	$16.60	$26.92	$58.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $77.62	Professional		$52.48	$69.18	$77.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $19.95 / $22.39	Professional	26	$15.14	$19.95	$22.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $48.98 / $54.95	Professional	TC	$37.15	$48.98	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $45.71 / $70.79	Professional		$23.99	$45.71	$70.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.59 / $22.39	Professional	26	$7.94	$12.59	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $33.11 / $51.29	Professional	TC	$16.60	$33.11	$51.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $51.29 / $194.98	Facility		$29.51	$51.29	$194.98
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $77.62 / $97.72 / $117.49	Facility	TC	$77.62	$97.72	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $50.12 / $194.98	Professional		$28.18	$50.12	$194.98
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $18.20 / $46.77	Professional	26	$10.23	$18.20	$46.77
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $33.88 / $138.04	Professional	TC	$19.05	$33.88	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $46.77 / $70.79	Professional		$26.92	$46.77	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.79 / $23.44	Professional	26	$8.91	$14.79	$23.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $30.90 / $48.98	Professional	TC	$18.20	$30.90	$48.98