Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $51.55 / $94.03	Facility		$11.90	$51.55	$94.03
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.11 / $8.11 / $13.10	Facility	26	$8.11	$8.11	$13.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $13.26 / $39.11	Professional		$10.62	$13.26	$39.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $8.25 / $12.04	Professional	26	$7.24	$8.25	$12.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.19 / $3.89 / $6.29	Professional	TC	$3.19	$3.89	$6.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $27.59 / $28.83	Professional		$22.36	$27.59	$28.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.12 / $18.67 / $19.51	Professional	26	$15.12	$18.67	$19.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.24 / $8.92 / $9.33	Professional	TC	$7.24	$8.92	$9.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $12.68 / $12.68	Facility		$12.68	$12.68	$12.68
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 $13.37 / $20.30 / $28.39	Professional		$13.37	$20.30	$28.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.23 / $13.96 / $19.63	Professional	26	$9.23	$13.96	$19.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.22 / $6.34 / $8.86	Professional	TC	$3.22	$6.34	$8.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $18.55 / $32.47	Facility		$11.90	$18.55	$32.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $25.69 / $1,428.44	Professional		$12.62	$25.69	$1,428.44
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $16.82 / $1,274.28	Professional	26	$9.02	$16.82	$1,274.28
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $3.97 / $8.22 / $988.10	Professional	TC	$3.97	$8.22	$988.10
United Facility/Professional Facility Modifier Low / Median / High Price $47.52 / $47.52 / $47.52	Facility		$47.52	$47.52	$47.52
United Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $25.77 / $30.74	Professional		$13.58	$25.77	$30.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $14.92 / $20.22	Professional	26	$9.16	$14.92	$20.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.97 / $7.06 / $10.14	Professional	TC	$3.97	$7.06	$10.14