Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $12.88 / $21.88	Facility	26	$12.88	$12.88	$21.88
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.18 / $32.36 / $53.70	Facility	TC	$28.18	$32.36	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $87.10	Professional		$32.36	$40.74	$87.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.88 / $30.90	Professional	26	$10.00	$12.88	$30.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.18 / $58.88	Professional	TC	$21.88	$28.18	$58.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $109.65	Professional		$74.13	$100.00	$109.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $29.51 / $32.36	Professional	26	$22.39	$29.51	$32.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $69.18 / $77.62	Professional	TC	$52.48	$69.18	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $64.57 / $102.33	Professional		$33.88	$64.57	$102.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $18.62 / $33.11	Professional	26	$11.75	$18.62	$33.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $45.71 / $69.18	Professional	TC	$23.44	$45.71	$69.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $72.44 / $275.42	Professional		$39.81	$72.44	$275.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $24.55 / $81.28	Professional	26	$12.88	$24.55	$81.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $47.86 / $194.98	Professional	TC	$26.92	$47.86	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $66.07 / $102.33	Professional		$38.90	$66.07	$102.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $21.88 / $34.67	Professional	26	$12.88	$21.88	$34.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $42.66 / $69.18	Professional	TC	$25.70	$42.66	$69.18