Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.12 / $30.12 / $51.20	Facility	26	$30.12	$30.12	$51.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $54.83 / $126.90	Professional		$46.42	$54.83	$126.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.57 / $29.39 / $73.80	Professional	26	$26.57	$29.39	$73.80
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $34.27 / $36.90 / $60.30	Professional	52	$34.27	$36.90	$60.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.23 / $25.61 / $63.19	Professional	TC	$22.23	$25.61	$63.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.20 / $127.39 / $133.15	Professional		$100.20	$127.39	$133.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.89 / $68.97 / $72.09	Professional	26	$55.89	$68.97	$72.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.34 / $58.42 / $61.06	Professional	TC	$47.34	$58.42	$61.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.40 / $32.40 / $32.40	Facility	26	$32.40	$32.40	$32.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $84.17 / $139.27	Professional		$52.45	$84.17	$139.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.46 / $46.05 / $74.52	Professional	26	$28.46	$46.05	$74.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.58 / $38.11 / $64.76	Professional	TC	$23.58	$38.11	$64.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.94 / $104.89 / $334.42	Professional		$55.94	$104.89	$334.42
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $32.00 / $57.05 / $95.11	Professional	26	$32.00	$57.05	$95.11
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $67.95 / $67.95 / $67.95	Professional	52	$67.95	$67.95	$67.95
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.90 / $48.50 / $151.88	Professional	TC	$26.90	$48.50	$151.88
United Facility/Professional Professional Modifier Low / Median / High Price $61.45 / $100.55 / $138.88	Professional		$61.45	$100.55	$138.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.02 / $55.48 / $75.08	Professional	26	$33.02	$55.48	$75.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.96 / $46.73 / $56.34	Professional	TC	$27.96	$46.73	$56.34