Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.17 / $24.17 / $41.36	Facility	26	$24.17	$24.17	$41.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.52 / $67.19 / $78.34	Professional		$39.52	$67.19	$78.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.48 / $24.47 / $94.34	Professional	26	$23.48	$24.47	$94.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.05 / $29.29 / $53.67	Professional	TC	$15.05	$29.29	$53.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $82.79 / $97.82	Professional		$47.34	$82.79	$97.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.33 / $49.81 / $58.86	Professional	26	$46.33	$49.81	$58.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.81 / $33.54 / $39.70	Professional	TC	$32.81	$33.54	$39.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.42 / $78.03 / $133.03	Professional		$62.42	$78.03	$133.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.97 / $45.68 / $62.64	Professional	26	$28.97	$45.68	$62.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.88 / $32.35 / $86.90	Professional	TC	$25.88	$32.35	$86.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $122.51 / $441.00	Professional		$67.27	$122.51	$441.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.54 / $47.44 / $338.48	Professional	26	$24.54	$47.44	$338.48
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $40.17 / $79.81 / $338.48	Professional	TC	$40.17	$79.81	$338.48
United Facility/Professional Professional Modifier Low / Median / High Price $48.36 / $95.50 / $136.12	Professional		$48.36	$95.50	$136.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.54 / $42.70 / $60.33	Professional	26	$24.54	$42.70	$60.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.40 / $52.07 / $88.68	Professional	TC	$21.40	$52.07	$88.68