Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.30 / $17.30 / $27.97	Facility	26	$17.30	$17.30	$27.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $45.87 / $67.42	Professional		$37.59	$45.87	$67.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.08 / $16.57 / $56.07	Professional	26	$14.08	$16.57	$56.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $28.69 / $77.43	Professional	TC	$23.51	$28.69	$77.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.39 / $112.79 / $118.28	Professional		$91.39	$112.79	$118.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.22 / $39.76 / $41.56	Professional	26	$32.22	$39.76	$41.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $59.18 / $73.02 / $76.58	Professional	TC	$59.18	$73.02	$76.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.82 / $18.82 / $18.82	Facility	26	$18.82	$18.82	$18.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.29 / $77.76 / $116.45	Professional		$46.29	$77.76	$116.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.93 / $27.04 / $41.91	Professional	26	$15.93	$27.04	$41.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.35 / $47.69 / $75.00	Professional	TC	$27.35	$47.69	$75.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.23 / $81.31 / $301.08	Professional		$44.23	$81.31	$301.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.80 / $31.88 / $104.20	Professional	26	$16.80	$31.88	$104.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.82 / $49.45 / $196.89	Professional	TC	$25.82	$49.45	$196.89
United Facility/Professional Professional Modifier Low / Median / High Price $44.23 / $76.30 / $115.46	Professional		$44.23	$76.30	$115.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.68 / $31.60 / $43.13	Professional	26	$17.68	$31.60	$43.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.94 / $43.32 / $67.01	Professional	TC	$25.94	$43.32	$67.01