Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $15.14 / $26.30	Facility	26	$15.14	$15.14	$26.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $45.71 / $93.33	Professional		$32.36	$45.71	$93.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $15.14 / $33.11	Professional	26	$7.76	$15.14	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $33.11 / $131.83	Professional	TC	$21.88	$33.11	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $109.65	Professional		$75.86	$100.00	$109.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $34.67 / $38.90	Professional	26	$26.30	$34.67	$38.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $64.57 / $72.44	Professional	TC	$48.98	$64.57	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $75.86 / $114.82	Professional		$39.81	$75.86	$114.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $21.88 / $35.48	Professional	26	$10.47	$21.88	$35.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $53.70 / $85.11	Professional	TC	$26.30	$53.70	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $83.18 / $478.63	Professional		$40.74	$83.18	$478.63
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $17.38 / $213.80	Professional	26	$10.23	$17.38	$213.80
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $67.61 / $426.58	Professional	TC	$26.92	$67.61	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $77.62 / $109.65	Professional		$42.66	$77.62	$109.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $16.22 / $38.02	Professional	26	$8.71	$16.22	$38.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $58.88 / $79.43	Professional	TC	$26.92	$58.88	$79.43