Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.57 / $31.57 / $52.13	Facility	26	$31.57	$31.57	$52.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.38 / $70.65 / $109.30	Professional		$63.38	$70.65	$109.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.28 / $28.91 / $37.54	Professional	26	$26.28	$28.91	$37.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $28.47 / $33.74 / $35.33	Professional	52	$28.47	$33.74	$35.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.43 / $43.74 / $68.37	Professional	TC	$34.43	$43.74	$68.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $165.53 / $173.02	Professional		$134.13	$165.53	$173.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.07 / $73.02 / $76.33	Professional	26	$62.07	$73.02	$76.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.95 / $92.50 / $97.01	Professional	TC	$74.95	$92.50	$97.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.84 / $33.84 / $33.84	Facility	26	$33.84	$33.84	$33.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.86 / $122.06 / $179.86	Professional		$81.86	$122.06	$179.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.12 / $57.00 / $78.58	Professional	26	$31.12	$57.00	$78.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.28 / $73.59 / $102.83	Professional	TC	$51.28	$73.59	$102.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.41 / $145.27 / $497.00	Professional		$71.41	$145.27	$497.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $31.76 / $57.20 / $320.31	Professional	26	$31.76	$57.20	$320.31
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $43.31 / $85.87 / $320.31	Professional	TC	$43.31	$85.87	$320.31
United Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $125.89 / $170.16	Professional		$78.20	$125.89	$170.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.76 / $54.03 / $76.56	Professional	26	$31.76	$54.03	$76.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.09 / $69.77 / $101.97	Professional	TC	$36.09	$69.77	$101.97