Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.93 / $20.72 / $118.24	Facility	26	$16.93	$20.72	$118.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.41 / $60.86 / $65.88	Professional		$41.41	$60.86	$65.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.04 / $19.77 / $21.12	Professional	26	$14.04	$19.77	$21.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.37 / $40.68 / $44.76	Professional	TC	$27.37	$40.68	$44.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $60.20 / $82.66	Professional		$21.00	$60.20	$82.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.80 / $20.80 / $30.45	Facility	26	$20.80	$20.80	$30.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.25 / $56.99 / $97.10	Professional		$53.25	$56.99	$97.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.26 / $20.86 / $32.90	Professional	26	$18.26	$20.86	$32.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.93 / $38.45 / $64.52	Professional	TC	$34.93	$38.45	$64.52
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $49.19 / $94.47 / $94.47	Facility	26	$49.19	$94.47	$94.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.50 / $71.58 / $420.07	Professional		$55.50	$71.58	$420.07
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.68 / $22.74 / $132.09	Professional	26	$19.68	$22.74	$132.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $35.18 / $45.48 / $288.04	Professional	TC	$35.18	$45.48	$288.04
United Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $67.45 / $97.99	Professional		$54.60	$67.45	$97.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.32 / $21.98 / $34.79	Professional	26	$19.32	$21.98	$34.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.40 / $43.13 / $66.03	Professional	TC	$34.40	$43.13	$66.03