Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.48 / $19.36 / $94.16	Facility	26	$16.48	$19.36	$94.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $91.00 / $145.06	Professional		$67.27	$91.00	$145.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.38 / $37.40 / $47.22	Professional	26	$18.38	$37.40	$47.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.68 / $46.44 / $129.36	Professional	TC	$35.68	$46.44	$129.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.20 / $97.65 / $134.09	Professional		$46.20	$97.65	$134.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.84 / $16.84 / $26.72	Facility	26	$16.84	$16.84	$26.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.77 / $121.62 / $255.75	Professional		$81.77	$121.62	$255.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.55 / $26.33 / $61.85	Professional	26	$16.55	$26.33	$61.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.75 / $79.61 / $188.80	Professional	TC	$41.75	$79.61	$188.80
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $108.25 / $205.87 / $205.87	Facility	26	$108.25	$205.87	$205.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.77 / $131.65 / $2,899.89	Professional		$87.77	$131.65	$2,899.89
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $17.27 / $47.31 / $425.60	Professional	26	$17.27	$47.31	$425.60
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $52.12 / $89.87 / $2,808.09	Professional	TC	$52.12	$89.87	$2,808.09
United Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $119.89 / $326.32	Professional		$82.28	$119.89	$326.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.80 / $44.82 / $79.68	Professional	26	$16.80	$44.82	$79.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.12 / $68.90 / $308.51	Professional	TC	$52.12	$68.90	$308.51