Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.10 / $14.76 / $303.00	Facility		$8.10	$14.76	$303.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.89 / $11.09 / $17.38	Facility	26	$8.89	$11.09	$17.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $12.15 / $16.07	Professional		$9.97	$12.15	$16.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $8.25 / $9.49	Professional	26	$7.41	$8.25	$9.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.38 / $3.83 / $4.72	Professional	TC	$3.38	$3.83	$4.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $30.70 / $49.29	Facility		$21.00	$30.70	$49.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $22.53 / $22.53	Professional		$22.53	$22.53	$22.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.17 / $35.94 / $114.61	Facility		$11.17	$35.94	$114.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $15.09 / $22.37	Professional		$9.35	$15.09	$22.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.50 / $10.22 / $15.28	Professional	26	$6.50	$10.22	$15.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $5.18 / $7.92	Professional	TC	$3.02	$5.18	$7.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.85 / $15.02 / $27.99	Facility		$10.85	$15.02	$27.99
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $17.60 / $17.60 / $100.00	Facility	26	$17.60	$17.60	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $15.23 / $1,428.44	Professional		$12.01	$15.23	$1,428.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.30 / $10.74 / $1,274.28	Professional	26	$8.30	$10.74	$1,274.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $3.33 / $4.72 / $988.10	Professional	TC	$3.33	$4.72	$988.10
United Facility/Professional Facility Modifier Low / Median / High Price $27.47 / $27.47 / $45.60	Facility		$27.47	$27.47	$45.60
United Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $14.20 / $22.03	Professional		$12.01	$14.20	$22.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.30 / $9.85 / $15.73	Professional	26	$8.30	$9.85	$15.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.33 / $4.37 / $7.24	Professional	TC	$3.33	$4.37	$7.24