Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.97 / $14.97 / $24.17	Facility	26	$14.97	$14.97	$24.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.17 / $53.76 / $60.01	Professional		$42.17	$53.76	$60.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.74 / $14.06 / $21.87	Professional	26	$12.74	$14.06	$21.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.66 / $37.72 / $44.55	Professional	TC	$29.66	$37.72	$44.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.52 / $131.44 / $137.38	Professional		$106.52	$131.44	$137.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.62 / $34.08 / $35.61	Professional	26	$27.62	$34.08	$35.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $78.91 / $97.37 / $101.78	Professional	TC	$78.91	$97.37	$101.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.20 / $16.20 / $16.20	Facility	26	$16.20	$16.20	$16.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.93 / $87.07 / $142.32	Professional		$53.93	$87.07	$142.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.10 / $22.50 / $36.75	Professional	26	$14.10	$22.50	$36.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.63 / $64.56 / $103.61	Professional	TC	$39.63	$64.56	$103.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.13 / $106.82 / $325.58	Professional		$54.13	$106.82	$325.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.16 / $29.39 / $91.83	Professional	26	$15.16	$29.39	$91.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $38.97 / $77.43 / $233.75	Professional	TC	$38.97	$77.43	$233.75
United Facility/Professional Professional Modifier Low / Median / High Price $54.13 / $101.20 / $135.22	Professional		$54.13	$101.20	$135.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.16 / $27.85 / $37.36	Professional	26	$15.16	$27.85	$37.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.06 / $69.27 / $97.86	Professional	TC	$30.06	$69.27	$97.86