Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.53 / $24.53 / $55.93	Facility	26	$24.53	$24.53	$55.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.28 / $60.60 / $176.22	Professional		$28.28	$60.60	$176.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.17 / $32.26 / $90.78	Professional	26	$17.17	$32.26	$90.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.18 / $14.99 / $93.60	Professional	TC	$9.18	$14.99	$93.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.91 / $156.61 / $163.68	Professional		$126.91	$156.61	$163.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.43 / $79.52 / $83.11	Professional	26	$64.43	$79.52	$83.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $62.46 / $76.76 / $80.56	Professional	TC	$62.46	$76.76	$80.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.43 / $37.43 / $37.43	Facility	26	$37.43	$37.43	$37.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $97.44 / $149.19	Professional		$37.61	$97.44	$149.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.56 / $49.21 / $83.82	Professional	26	$23.56	$49.21	$83.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.31 / $48.72 / $83.82	Professional	TC	$12.31	$48.72	$83.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $71.92 / $359.16	Professional		$39.56	$71.92	$359.16
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.10 / $55.57 / $197.46	Professional	26	$27.10	$55.57	$197.46
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $13.27 / $33.20 / $214.27	Professional	TC	$13.27	$33.20	$214.27
United Facility/Professional Professional Modifier Low / Median / High Price $42.89 / $71.92 / $130.63	Professional		$42.89	$71.92	$130.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.90 / $45.24 / $74.56	Professional	26	$24.90	$45.24	$74.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.27 / $31.58 / $72.81	Professional	TC	$13.27	$31.58	$72.81