Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.31 / $15.62 / $87.90	Facility	26	$13.31	$15.62	$87.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.97 / $43.86 / $47.40	Professional		$29.97	$43.86	$47.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.12 / $15.75 / $16.73	Professional	26	$11.12	$15.75	$16.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.85 / $27.94 / $30.66	Professional	TC	$18.85	$27.94	$30.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $43.40 / $59.59	Professional		$16.45	$43.40	$59.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.25 / $14.25 / $21.21	Facility	26	$14.25	$14.25	$21.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $40.46 / $62.94	Professional		$33.72	$40.46	$62.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.48 / $16.02 / $24.23	Professional	26	$13.48	$16.02	$24.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.79 / $24.30 / $40.79	Professional	TC	$18.79	$24.30	$40.79
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $38.32 / $80.00 / $80.00	Facility	26	$38.32	$80.00	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.25 / $51.22 / $301.08	Professional		$37.25	$51.22	$301.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.78 / $17.20 / $104.20	Professional	26	$14.78	$17.20	$104.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.57 / $33.72 / $196.89	Professional	TC	$21.57	$33.72	$196.89
United Facility/Professional Professional Modifier Low / Median / High Price $34.92 / $44.23 / $70.00	Professional		$34.92	$44.23	$70.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.78 / $16.80 / $26.47	Professional	26	$14.78	$16.80	$26.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.16 / $31.19 / $49.36	Professional	TC	$20.16	$31.19	$49.36