Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $12.88 / $22.91	Facility	26	$12.88	$12.88	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $93.33	Professional		$33.88	$43.65	$93.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $17.78 / $45.71	Professional	26	$10.96	$17.78	$45.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $30.90 / $89.13	Professional	TC	$22.39	$30.90	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $117.49	Professional		$79.43	$104.71	$117.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $30.20 / $33.11	Professional	26	$22.91	$30.20	$33.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $75.86 / $83.18	Professional	TC	$56.23	$75.86	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $69.18 / $104.71	Professional		$40.74	$69.18	$104.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $19.50 / $33.11	Professional	26	$12.02	$19.50	$33.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $50.12 / $74.13	Professional	TC	$25.70	$50.12	$74.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $67.61 / $288.40	Professional		$39.81	$67.61	$288.40
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $25.70 / $83.18	Professional	26	$13.49	$25.70	$83.18
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $42.66 / $208.93	Professional	TC	$25.70	$42.66	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $61.66 / $107.15	Professional		$39.81	$61.66	$107.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $22.91 / $34.67	Professional	26	$13.18	$22.91	$34.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $37.15 / $72.44	Professional	TC	$25.70	$37.15	$72.44