Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.51 / $39.93 / $49.91	Facility	26	$16.51	$39.93	$49.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.76 / $102.28 / $184.58	Professional		$75.76	$102.28	$184.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.61 / $12.36 / $51.30	Professional	26	$10.61	$12.36	$51.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.44 / $89.92 / $166.62	Professional	TC	$64.44	$89.92	$166.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.96 / $103.95 / $129.94	Professional		$90.96	$103.95	$129.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.63 / $12.14 / $15.18	Professional	26	$10.63	$12.14	$15.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $80.33 / $91.81 / $114.76	Professional	TC	$80.33	$91.81	$114.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.62 / $151.58 / $265.00	Professional		$86.62	$151.58	$265.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.53 / $13.88 / $24.90	Professional	26	$8.53	$13.88	$24.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.08 / $132.68 / $222.94	Professional	TC	$77.08	$132.68	$222.94
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $110.80 / $110.80 / $110.80	Facility	26	$110.80	$110.80	$110.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.53 / $137.54 / $876.62	Professional		$98.53	$137.54	$876.62
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.99 / $11.78 / $270.04	Professional	26	$9.99	$11.78	$270.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $87.85 / $127.55 / $820.61	Professional	TC	$87.85	$127.55	$820.61
United Facility/Professional Professional Modifier Low / Median / High Price $97.38 / $130.38 / $236.74	Professional		$97.38	$130.38	$236.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.99 / $10.74 / $22.33	Professional	26	$9.99	$10.74	$22.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.73 / $119.41 / $215.93	Professional	TC	$86.73	$119.41	$215.93