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 / $25.63	Facility	26	$16.05	$16.05	$25.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.03 / $43.17 / $68.73	Professional		$33.03	$43.17	$68.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.84 / $14.56 / $19.05	Professional	26	$12.84	$14.56	$19.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.19 / $27.86 / $51.77	Professional	TC	$20.19	$27.86	$51.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.54 / $100.62 / $105.16	Professional		$81.54	$100.62	$105.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.59 / $36.52 / $38.17	Professional	26	$29.59	$36.52	$38.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.95 / $64.09 / $67.00	Professional	TC	$51.95	$64.09	$67.00
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 $42.12 / $78.66 / $110.00	Professional		$42.12	$78.66	$110.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.61 / $27.91 / $38.64	Professional	26	$15.61	$27.91	$38.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.42 / $50.50 / $71.00	Professional	TC	$25.42	$50.50	$71.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.70 / $75.81 / $390.88	Professional		$41.70	$75.81	$390.88
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.63 / $30.74 / $103.00	Professional	26	$15.63	$30.74	$103.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.90 / $45.53 / $301.75	Professional	TC	$23.90	$45.53	$301.75
United Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $72.03 / $101.49	Professional		$40.78	$72.03	$101.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.47 / $29.07 / $40.09	Professional	26	$16.47	$29.07	$40.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.90 / $43.36 / $74.08	Professional	TC	$23.90	$43.36	$74.08