Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $28.84 / $48.98	Facility	26	$26.92	$28.84	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $79.43 / $162.18	Professional		$47.86	$79.43	$162.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $28.18 / $70.79	Professional	26	$22.91	$28.18	$70.79
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.30 / $44.67 / $48.98	Professional	52	$12.30	$44.67	$48.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $42.66 / $70.79	Professional	TC	$25.12	$42.66	$70.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $147.91	Professional		$102.33	$134.90	$147.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $63.10 / $69.18	Professional	26	$46.77	$63.10	$69.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $72.44 / $79.43	Professional	TC	$53.70	$72.44	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $173.78	Professional		$74.13	$109.65	$173.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $40.74 / $66.07	Professional	26	$26.30	$40.74	$66.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $60.26 / $107.15	Professional	TC	$41.69	$60.26	$107.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $151.36 / $446.68	Professional		$81.28	$151.36	$446.68
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $52.48 / $263.03	Professional	26	$27.54	$52.48	$263.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $100.00 / $398.11	Professional	TC	$51.29	$100.00	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $125.89 / $181.97	Professional		$67.61	$125.89	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $41.69 / $70.79	Professional	26	$26.92	$41.69	$70.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $81.28 / $120.23	Professional	TC	$42.66	$81.28	$120.23