Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.94 / $6.94 / $16.02	Facility	26	$6.94	$6.94	$16.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.16 / $29.30 / $105.14	Professional		$16.16	$29.30	$105.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.94 / $9.38 / $13.72	Professional	26	$6.94	$9.38	$13.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.22 / $17.47 / $92.72	Professional	TC	$9.22	$17.47	$92.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.63 / $61.91 / $65.30	Professional		$50.63	$61.91	$65.30
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.41 / $22.72 / $23.75	Professional	26	$18.41	$22.72	$23.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.22 / $38.79 / $41.56	Professional	TC	$32.22	$38.79	$41.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $5.59 / $5.59 / $5.59	Facility	53	$5.59	$5.59	$5.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $53.09 / $162.51	Professional		$27.63	$53.09	$162.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.82 / $17.13 / $24.17	Professional	26	$9.82	$17.13	$24.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.25 / $34.22 / $143.07	Professional	TC	$16.25	$34.22	$143.07
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $132.00 / $132.00 / $132.00	Facility	26	$132.00	$132.00	$132.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $46.72 / $761.56	Professional		$25.70	$46.72	$761.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $19.78 / $132.00	Professional	26	$10.11	$19.78	$132.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $13.35 / $26.94 / $705.08	Professional	TC	$13.35	$26.94	$705.08
United Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $44.38 / $84.06	Professional		$23.46	$44.38	$84.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $18.28 / $24.71	Professional	26	$10.11	$18.28	$24.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.35 / $25.59 / $53.83	Professional	TC	$13.35	$25.59	$53.83