Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.74 / $92.24 / $93.30	Facility		$3.74	$92.24	$93.30
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.77 / $26.05 / $32.56	Facility	26	$10.77	$26.05	$32.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $13.26 / $50.00	Professional		$11.17	$13.26	$50.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.42 / $8.83 / $17.98	Professional	26	$7.42	$8.83	$17.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.36 / $11.36 / $12.27	Professional	50	$11.36	$11.36	$12.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.62 / $4.44 / $9.18	Professional	TC	$3.62	$4.44	$9.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $9.86 / $16.43	Facility		$2.50	$9.86	$16.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $9.36 / $11.70	Professional		$7.02	$9.36	$11.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.57 / $6.10 / $7.62	Professional	26	$4.57	$6.10	$7.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $2.45 / $3.26 / $4.08	Professional	TC	$2.45	$3.26	$4.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.18 / $54.43 / $76.66	Facility		$12.18	$54.43	$76.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.76 / $8.76 / $8.76	Facility	26	$8.76	$8.76	$8.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $14.89 / $24.25	Professional		$9.85	$14.89	$24.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.50 / $10.02 / $16.37	Professional	26	$6.50	$10.02	$16.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $4.41 / $8.69	Professional	TC	$3.02	$4.41	$8.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $13.50 / $26.16	Facility		$10.76	$13.50	$26.16
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $17.60 / $100.00 / $100.00	Facility	26	$17.60	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $14.11 / $1,428.44	Professional		$11.52	$14.11	$1,428.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $7.79 / $9.59 / $1,274.28	Professional	26	$7.79	$9.59	$1,274.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $3.60 / $4.55 / $988.10	Professional	TC	$3.60	$4.55	$988.10
United Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $13.64 / $22.07	Professional		$11.52	$13.64	$22.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.79 / $9.55 / $16.10	Professional	26	$7.79	$9.55	$16.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.60 / $4.05 / $7.21	Professional	TC	$3.60	$4.05	$7.21