Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.70 / $13.70 / $22.14	Facility	26	$13.70	$13.70	$22.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $42.61 / $80.11	Professional		$34.85	$42.61	$80.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.25 / $13.51 / $45.39	Professional	26	$12.25	$13.51	$45.39
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $17.43 / $22.09 / $23.56	Professional	52	$17.43	$22.09	$23.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $29.48 / $88.11	Professional	TC	$22.26	$29.48	$88.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.42 / $110.35 / $115.34	Professional		$89.42	$110.35	$115.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.64 / $31.65 / $33.07	Professional	26	$25.64	$31.65	$33.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.78 / $78.70 / $82.27	Professional	TC	$63.78	$78.70	$82.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.96 / $14.96 / $14.96	Facility	26	$14.96	$14.96	$14.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $73.33 / $111.02	Professional		$42.84	$73.33	$111.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.03 / $23.43 / $33.18	Professional	26	$13.03	$23.43	$33.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.68 / $49.74 / $77.58	Professional	TC	$26.68	$49.74	$77.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $77.98 / $290.45	Professional		$39.40	$77.98	$290.45
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.07 / $27.40 / $82.68	Professional	26	$14.07	$27.40	$82.68
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.58 / $48.04 / $207.72	Professional	TC	$25.58	$48.04	$207.72
United Facility/Professional Professional Modifier Low / Median / High Price $42.51 / $71.52 / $111.00	Professional		$42.51	$71.52	$111.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.68 / $25.20 / $34.69	Professional	26	$14.68	$25.20	$34.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.14 / $52.52 / $76.90	Professional	TC	$29.14	$52.52	$76.90