Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $37.09 / $69.02	Facility		$18.30	$37.09	$69.02
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.11 / $50.45 / $274.51	Facility	26	$24.11	$50.45	$274.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $37.09 / $90.20	Professional		$36.63	$37.09	$90.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.82 / $24.11 / $48.42	Professional	26	$23.82	$24.11	$48.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.81 / $13.40 / $41.78	Professional	TC	$12.81	$13.40	$41.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.47 / $246.40 / $356.94	Facility		$183.47	$246.40	$356.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $57.78 / $63.44	Professional		$37.20	$57.78	$63.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $77.01 / $136.56	Facility		$17.98	$77.01	$136.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.70 / $43.70 / $74.26	Facility	26	$43.70	$43.70	$74.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.41 / $71.34 / $115.10	Professional		$41.41	$71.34	$115.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.14 / $41.91 / $59.86	Professional	26	$26.14	$41.91	$59.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.64 / $29.11 / $50.53	Professional	TC	$14.64	$29.11	$50.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.46 / $92.80 / $187.04	Facility		$38.46	$92.80	$187.04
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $70.02 / $198.78 / $198.78	Facility	26	$70.02	$198.78	$198.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $90.86 / $659.45	Professional		$46.92	$90.86	$659.45
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.94 / $50.87 / $335.18	Professional	26	$27.94	$50.87	$335.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.84 / $38.79 / $404.98	Professional	TC	$18.84	$38.79	$404.98
United Facility/Professional Facility Modifier Low / Median / High Price $226.94 / $226.94 / $226.94	Facility		$226.94	$226.94	$226.94
United Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $78.94 / $110.06	Professional		$45.70	$78.94	$110.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.94 / $47.52 / $58.56	Professional	26	$27.94	$47.52	$58.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.39 / $28.14 / $59.19	Professional	TC	$18.39	$28.14	$59.19