Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.87 / $15.87 / $25.63	Facility	26	$15.87	$15.87	$25.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $33.96 / $43.88	Professional		$17.14	$33.96	$43.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $14.65 / $37.38	Professional	26	$7.03	$14.65	$37.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.11 / $24.84 / $74.76	Professional	TC	$10.11	$24.84	$74.76
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 / $36.52 / $38.17	Professional	26	$29.59	$36.52	$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 $17.32 / $17.32 / $17.32	Facility	26	$17.32	$17.32	$17.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.32 / $58.39 / $100.07	Professional		$27.32	$58.39	$100.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.31 / $19.84 / $35.71	Professional	26	$9.31	$19.84	$35.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.18 / $39.36 / $65.93	Professional	TC	$18.18	$39.36	$65.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $56.43 / $738.38	Professional		$22.28	$56.43	$738.38
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.33 / $26.98 / $95.54	Professional	26	$11.33	$26.98	$95.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $11.83 / $46.31 / $724.28	Professional	TC	$11.83	$46.31	$724.28
United Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $42.22 / $98.19	Professional		$23.16	$42.22	$98.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.90 / $17.98 / $37.58	Professional	26	$8.90	$17.98	$37.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.83 / $27.43 / $60.61	Professional	TC	$11.83	$27.43	$60.61