Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.32 / $15.32 / $25.36	Facility	26	$15.32	$15.32	$25.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.85 / $44.83 / $87.46	Professional		$35.85	$44.83	$87.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $12.68 / $18.89	Professional	26	$7.33	$12.68	$18.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.22 / $29.63 / $78.90	Professional	TC	$23.22	$29.63	$78.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.82 / $104.68 / $109.40	Professional		$84.82	$104.68	$109.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.59 / $36.32 / $38.17	Professional	26	$29.59	$36.32	$38.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $55.24 / $68.16 / $71.23	Professional	TC	$55.24	$68.16	$71.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.93 / $16.93 / $16.93	Facility	26	$16.93	$16.93	$16.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.84 / $81.20 / $122.90	Professional		$52.84	$81.20	$122.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.64 / $21.82 / $37.54	Professional	26	$9.64	$21.82	$37.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.15 / $56.19 / $89.00	Professional	TC	$35.15	$56.19	$89.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.01 / $94.88 / $475.98	Professional		$50.01	$94.88	$475.98
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.25 / $25.92 / $211.35	Professional	26	$10.25	$25.92	$211.35
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $32.04 / $69.31 / $429.40	Professional	TC	$32.04	$69.31	$429.40
United Facility/Professional Professional Modifier Low / Median / High Price $47.62 / $83.68 / $104.88	Professional		$47.62	$83.68	$104.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.52 / $17.57 / $36.15	Professional	26	$9.52	$17.57	$36.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.04 / $54.53 / $82.76	Professional	TC	$32.04	$54.53	$82.76