Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.43 / $266.73 / $441.12	Facility		$89.43	$266.73	$441.12
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $14.85	Facility	26	$9.19	$9.19	$14.85
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.01 / $36.99 / $321.89	Facility	TC	$20.01	$36.99	$321.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $29.22 / $78.30	Professional		$24.69	$29.22	$78.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $8.49 / $25.20	Professional	26	$7.51	$8.49	$25.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $20.04 / $57.60	Professional	TC	$16.60	$20.04	$57.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.18 / $73.02 / $76.58	Professional		$59.18	$73.02	$76.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.09 / $21.09 / $22.05	Professional	26	$17.09	$21.09	$22.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.08 / $51.93 / $54.46	Professional	TC	$42.08	$51.93	$54.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $33.92 / $33.92	Facility		$33.92	$33.92	$33.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $24.24 / $24.24 / $24.24	Facility	TC	$24.24	$24.24	$24.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.42 / $45.68 / $74.06	Professional		$25.42	$45.68	$74.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.01 / $14.13 / $22.18	Professional	26	$8.01	$14.13	$22.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.41 / $32.99 / $51.68	Professional	TC	$17.41	$32.99	$51.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.22 / $47.50 / $191.20	Facility		$29.22	$47.50	$191.20
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $76.90 / $96.65 / $117.30	Facility	TC	$76.90	$96.65	$117.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.11 / $53.91 / $193.62	Professional		$28.11	$53.91	$193.62
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.09 / $18.39 / $55.28	Professional	26	$10.09	$18.39	$55.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.20 / $36.28 / $138.27	Professional	TC	$19.20	$36.28	$138.27
United Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $51.61 / $73.38	Professional		$29.59	$51.61	$73.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $16.82 / $23.13	Professional	26	$9.38	$16.82	$23.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.20 / $36.28 / $50.47	Professional	TC	$19.20	$36.28	$50.47