Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.80 / $29.61 / $160.77	Facility	26	$23.80	$29.61	$160.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.64 / $51.27 / $77.64	Professional		$50.64	$51.27	$77.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.51 / $23.80 / $29.75	Professional	26	$23.51	$23.80	$29.75
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $24.65 / $25.64 / $33.40	Professional	52	$24.65	$25.64	$33.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.14 / $27.47 / $49.53	Professional	TC	$27.14	$27.47	$49.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $62.65 / $86.03	Professional		$35.54	$62.65	$86.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $25.12 / $42.57	Facility	26	$25.12	$25.12	$42.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.84 / $63.48 / $103.16	Professional		$55.84	$63.48	$103.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.43 / $28.74 / $44.55	Professional	26	$24.43	$28.74	$44.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.94 / $37.11 / $62.01	Professional	TC	$28.94	$37.11	$62.01
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 $61.07 / $82.54 / $497.00	Professional		$61.07	$82.54	$497.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.63 / $33.35 / $320.31	Professional	26	$27.63	$33.35	$320.31
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $31.40 / $52.94 / $320.31	Professional	TC	$31.40	$52.94	$320.31
United Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $79.95 / $104.52	Professional		$57.67	$79.95	$104.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.00 / $31.76 / $48.01	Professional	26	$27.00	$31.76	$48.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.40 / $43.31 / $64.23	Professional	TC	$31.40	$43.31	$64.23