Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.28 / $10.28 / $16.02	Facility	26	$10.28	$10.28	$16.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $29.33 / $39.95	Professional		$25.76	$29.33	$39.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.48 / $9.41 / $16.01	Professional	26	$8.48	$9.41	$16.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.28 / $21.54 / $39.31	Professional	TC	$17.28	$21.54	$39.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.12 / $77.90 / $81.42	Professional		$63.12	$77.90	$81.42
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 $44.71 / $55.17 / $57.68	Professional	TC	$44.71	$55.17	$57.68
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 $31.99 / $55.15 / $83.82	Professional		$31.99	$55.15	$83.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.97 / $17.13 / $24.39	Professional	26	$9.97	$17.13	$24.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.76 / $35.57 / $60.25	Professional	TC	$20.76	$35.57	$60.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.83 / $57.20 / $197.88	Professional		$30.83	$57.20	$197.88
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $20.83 / $232.03	Professional	26	$10.47	$20.83	$232.03
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.77 / $38.39 / $142.29	Professional	TC	$18.77	$38.39	$142.29
United Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $57.20 / $81.56	Professional		$32.43	$57.20	$81.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.75 / $18.85 / $25.63	Professional	26	$10.75	$18.85	$25.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.41 / $34.14 / $50.01	Professional	TC	$20.41	$34.14	$50.01