Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.25 / $25.25 / $40.47	Facility	26	$25.25	$25.25	$40.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $46.84 / $75.45	Professional		$41.75	$46.84	$75.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.37 / $24.41 / $65.86	Professional	26	$21.37	$24.41	$65.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.61 / $23.10 / $116.59	Professional	TC	$19.61	$23.10	$116.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.79 / $107.11 / $112.33	Professional		$86.79	$107.11	$112.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.03 / $56.80 / $59.37	Professional	26	$46.03	$56.80	$59.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.76 / $50.31 / $53.06	Professional	TC	$40.76	$50.31	$53.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.99 / $26.99 / $26.99	Facility	26	$26.99	$26.99	$26.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $83.74 / $117.10	Professional		$52.75	$83.74	$117.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.36 / $43.77 / $60.63	Professional	26	$26.36	$43.77	$60.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.46 / $39.97 / $65.28	Professional	TC	$24.46	$39.97	$65.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.98 / $87.68 / $495.56	Professional		$47.98	$87.68	$495.56
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.62 / $48.66 / $151.44	Professional	26	$25.62	$48.66	$151.44
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.42 / $41.04 / $367.63	Professional	TC	$22.42	$41.04	$367.63
United Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $83.41 / $107.60	Professional		$47.64	$83.41	$107.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.62 / $44.05 / $63.00	Professional	26	$25.62	$44.05	$63.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.02 / $38.67 / $55.01	Professional	TC	$22.02	$38.67	$55.01