Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.36 / $22.36 / $35.53	Facility	26	$22.36	$22.36	$35.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.53 / $63.02 / $68.34	Professional		$52.53	$63.02	$68.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.98 / $20.17 / $22.36	Professional	26	$17.98	$20.17	$22.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.54 / $43.42 / $47.06	Professional	TC	$34.54	$43.42	$47.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $159.04 / $166.23	Professional		$128.88	$159.04	$166.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.76 / $50.31 / $52.58	Professional	26	$40.76	$50.31	$52.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $88.11 / $108.73 / $113.65	Professional	TC	$88.11	$108.73	$113.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.92 / $23.92 / $23.92	Facility	26	$23.92	$23.92	$23.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.38 / $111.00 / $172.01	Professional		$65.38	$111.00	$172.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.80 / $38.70 / $53.26	Professional	26	$21.80	$38.70	$53.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.05 / $71.45 / $117.86	Professional	TC	$44.05	$71.45	$117.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $122.87 / $420.07	Professional		$64.23	$122.87	$420.07
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.74 / $43.40 / $132.09	Professional	26	$22.74	$43.40	$132.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $41.50 / $79.47 / $288.04	Professional	TC	$41.50	$79.47	$288.04
United Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $121.43 / $160.02	Professional		$64.23	$121.43	$160.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.08 / $42.09 / $55.79	Professional	26	$23.08	$42.09	$55.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.54 / $75.29 / $104.23	Professional	TC	$41.54	$75.29	$104.23