Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.44 / $34.79 / $66.58	Facility	26	$34.44	$34.79	$66.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.97 / $70.01 / $88.77	Professional		$62.97	$70.01	$88.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.28 / $28.70 / $35.57	Professional	26	$26.28	$28.70	$35.57
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $31.67 / $32.86 / $38.86	Professional	52	$31.67	$32.86	$38.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.90 / $40.46 / $48.96	Professional	TC	$34.90	$40.46	$48.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $124.00 / $124.00	Professional		$124.00	$124.00	$124.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.79 / $87.57 / $131.38	Professional		$50.79	$87.57	$131.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.66 / $38.96 / $55.35	Professional	26	$24.66	$38.96	$55.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.94 / $50.59 / $77.70	Professional	TC	$28.94	$50.59	$77.70
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $69.53 / $136.22 / $136.22	Facility	26	$69.53	$136.22	$136.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $88.67 / $497.00	Professional		$67.84	$88.67	$497.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $26.73 / $38.76 / $320.31	Professional	26	$26.73	$38.76	$320.31
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $36.09 / $53.39 / $320.31	Professional	TC	$36.09	$53.39	$320.31
United Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $81.45 / $121.21	Professional		$67.20	$81.45	$121.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.41 / $33.39 / $54.00	Professional	26	$27.41	$33.39	$54.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.31 / $46.70 / $69.36	Professional	TC	$35.31	$46.70	$69.36