Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $23.99 / $41.69	Facility	26	$23.99	$23.99	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $64.57 / $186.21	Professional		$34.67	$64.57	$186.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $50.12 / $70.79	Professional	26	$20.89	$50.12	$70.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $22.91 / $53.70	Professional	TC	$12.02	$22.91	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $104.71	Professional		$72.44	$89.13	$104.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $51.29 / $61.66	Professional	26	$41.69	$51.29	$61.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $36.31 / $43.65	Professional	TC	$29.51	$36.31	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $131.83	Professional		$63.10	$77.62	$131.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $45.71 / $63.10	Professional	26	$28.84	$45.71	$63.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $32.36 / $83.18	Professional	TC	$25.70	$32.36	$83.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $120.23 / $436.52	Professional		$47.86	$120.23	$436.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $46.77 / $338.84	Professional	26	$24.55	$46.77	$338.84
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $75.86 / $338.84	Professional	TC	$23.99	$75.86	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $89.13 / $134.90	Professional		$47.86	$89.13	$134.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $43.65 / $61.66	Professional	26	$23.99	$43.65	$61.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $48.98 / $89.13	Professional	TC	$23.99	$48.98	$89.13