Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $16.98 / $28.84	Facility	26	$15.85	$16.98	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $112.20	Professional		$34.67	$44.67	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.85 / $56.23	Professional	26	$12.88	$15.85	$56.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.84 / $77.62	Professional	TC	$21.88	$28.84	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $120.23	Professional		$81.28	$107.15	$120.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $38.02 / $41.69	Professional	26	$28.84	$38.02	$41.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $69.18 / $77.62	Professional	TC	$52.48	$69.18	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $70.79 / $109.65	Professional		$41.69	$70.79	$109.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $24.55 / $41.69	Professional	26	$14.13	$24.55	$41.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $45.71 / $72.44	Professional	TC	$24.55	$45.71	$72.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $70.79 / $302.00	Professional		$44.67	$70.79	$302.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $30.20 / $104.71	Professional	26	$16.98	$30.20	$104.71
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $39.81 / $194.98	Professional	TC	$25.12	$39.81	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $63.10 / $112.20	Professional		$42.66	$63.10	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $27.54 / $43.65	Professional	26	$15.14	$27.54	$43.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $38.02 / $67.61	Professional	TC	$25.70	$38.02	$67.61