Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.89 / $24.89 / $40.19	Facility	26	$24.89	$24.89	$40.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $82.29 / $179.78	Professional		$45.99	$82.29	$179.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.92 / $22.56 / $64.08	Professional	26	$16.92	$22.56	$64.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.98 / $56.82 / $100.45	Professional	TC	$23.98	$56.82	$100.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.63 / $121.71 / $127.22	Professional		$98.63	$121.71	$127.22
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 $52.60 / $64.92 / $67.84	Professional	TC	$52.60	$64.92	$67.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.65 / $26.65 / $26.65	Facility	26	$26.65	$26.65	$26.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $95.16 / $133.06	Professional		$62.93	$95.16	$133.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.00 / $38.22 / $60.25	Professional	26	$21.00	$38.22	$60.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.10 / $51.38 / $86.14	Professional	TC	$33.10	$51.38	$86.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.37 / $95.59 / $575.66	Professional		$53.37	$95.59	$575.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.26 / $47.48 / $232.81	Professional	26	$25.26	$47.48	$232.81
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.16 / $47.06 / $398.91	Professional	TC	$28.16	$47.06	$398.91
United Facility/Professional Professional Modifier Low / Median / High Price $49.44 / $88.99 / $122.58	Professional		$49.44	$88.99	$122.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.26 / $42.31 / $58.71	Professional	26	$25.26	$42.31	$58.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.88 / $44.71 / $77.44	Professional	TC	$25.88	$44.71	$77.44