Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.04 / $29.04 / $46.91	Facility	26	$29.04	$29.04	$46.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.38 / $101.07 / $212.49	Professional		$55.38	$101.07	$212.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.26 / $28.11 / $80.09	Professional	26	$25.26	$28.11	$80.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.18 / $75.81 / $160.19	Professional	TC	$29.18	$75.81	$160.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.67 / $147.69 / $154.36	Professional		$119.67	$147.69	$154.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.92 / $66.54 / $69.55	Professional	26	$53.92	$66.54	$69.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $65.75 / $80.89 / $84.81	Professional	TC	$65.75	$80.89	$84.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.27 / $31.27 / $31.27	Facility	26	$31.27	$31.27	$31.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.51 / $115.46 / $161.44	Professional		$76.51	$115.46	$161.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.95 / $51.38 / $70.72	Professional	26	$31.95	$51.38	$70.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.77 / $64.06 / $89.60	Professional	TC	$41.77	$64.06	$89.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $111.12 / $562.97	Professional		$64.81	$111.12	$562.97
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $29.59 / $53.48 / $186.58	Professional	26	$29.59	$53.48	$186.58
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $32.97 / $59.86 / $399.92	Professional	TC	$32.97	$59.86	$399.92
United Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $107.84 / $169.48	Professional		$64.81	$107.84	$169.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.59 / $49.20 / $68.56	Professional	26	$29.59	$49.20	$68.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.97 / $54.58 / $77.70	Professional	TC	$32.97	$54.58	$77.70