Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.05 / $16.05 / $26.23	Facility	26	$16.05	$16.05	$26.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.86 / $48.42 / $75.23	Professional		$41.86	$48.42	$75.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.11 / $15.66 / $35.10	Professional	26	$13.11	$15.66	$35.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.72 / $32.65 / $60.26	Professional	TC	$28.72	$32.65	$60.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.63 / $121.71 / $127.22	Professional		$98.63	$121.71	$127.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.25 / $37.14 / $39.01	Professional	26	$30.25	$37.14	$39.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.38 / $84.38 / $88.50	Professional	TC	$68.38	$84.38	$88.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $17.36	Facility	26	$17.36	$17.36	$17.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.55 / $80.70 / $123.65	Professional		$49.55	$80.70	$123.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.37 / $28.26 / $39.29	Professional	26	$15.37	$28.26	$39.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $54.17 / $84.06	Professional	TC	$32.36	$54.17	$84.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.59 / $89.46 / $321.19	Professional		$48.59	$89.46	$321.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.23 / $32.00 / $128.79	Professional	26	$16.23	$32.00	$128.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $31.40 / $57.10 / $254.00	Professional	TC	$31.40	$57.10	$254.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.08 / $86.19 / $122.45	Professional		$49.08	$86.19	$122.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.23 / $29.68 / $38.24	Professional	26	$16.23	$29.68	$38.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.40 / $55.52 / $82.36	Professional	TC	$31.40	$55.52	$82.36