Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.92 / $13.29 / $16.86	Facility	26	$9.92	$13.29	$16.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.89 / $48.97 / $115.97	Professional		$30.89	$48.97	$115.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.60 / $9.66 / $27.05	Professional	26	$8.60	$9.66	$27.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.39 / $51.90 / $207.90	Professional	TC	$26.39	$51.90	$207.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $95.74 / $100.08	Professional		$77.59	$95.74	$100.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.41 / $22.72 / $23.75	Professional	26	$18.41	$22.72	$23.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $59.18 / $73.02 / $76.33	Professional	TC	$59.18	$73.02	$76.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.35 / $83.25 / $137.18	Professional		$46.35	$83.25	$137.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.97 / $17.13 / $23.95	Professional	26	$9.97	$17.13	$23.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.75 / $64.04 / $117.25	Professional	TC	$34.75	$64.04	$117.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $79.38 / $539.95	Professional		$40.06	$79.38	$539.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.75 / $19.48 / $97.55	Professional	26	$10.75	$19.48	$97.55
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $34.15 / $62.02 / $492.53	Professional	TC	$34.15	$62.02	$492.53
United Facility/Professional Professional Modifier Low / Median / High Price $45.44 / $74.36 / $132.19	Professional		$45.44	$74.36	$132.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $18.28 / $24.71	Professional	26	$10.11	$18.28	$24.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.95 / $55.91 / $98.84	Professional	TC	$29.95	$55.91	$98.84