Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $30.20	Professional		$10.00	$12.02	$30.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $3.63 / $50.12	Professional	26	$3.02	$3.63	$50.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.08 / $19.05 / $67.61	Professional	TC	$7.08	$19.05	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $42.66 / $42.66	Professional		$38.02	$42.66	$42.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $11.22 / $11.22	Professional	26	$9.77	$11.22	$11.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $31.62 / $31.62	Professional	TC	$28.18	$31.62	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $26.92	Professional		$21.38	$21.38	$26.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.25 / $5.25 / $6.61	Professional	26	$5.25	$5.25	$6.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $16.22 / $19.95	Professional	TC	$16.22	$16.22	$19.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $12.02 / $23.44	Facility		$9.33	$12.02	$23.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $123.03	Professional		$32.36	$50.12	$123.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $10.72 / $87.10	Professional	26	$9.77	$10.72	$87.10
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $24.55 / $97.72	Professional	TC	$23.44	$24.55	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $33.11 / $43.65	Professional		$15.85	$33.11	$43.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.68 / $8.51 / $10.96	Professional	26	$4.68	$8.51	$10.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.22 / $23.44 / $32.36	Professional	TC	$11.22	$23.44	$32.36