Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $63.80 / $92.62	Facility		$21.53	$63.80	$92.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $19.21 / $44.50	Professional		$16.00	$19.21	$44.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.07 / $12.92 / $45.00	Professional	26	$10.07	$12.92	$45.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.92 / $7.89 / $22.25	Professional	TC	$5.92	$7.89	$22.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.17 / $51.53 / $51.74	Professional		$46.17	$51.53	$51.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.25 / $29.56 / $30.53	Professional	26	$27.25	$29.56	$30.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.92 / $21.21 / $21.96	Professional	TC	$18.92	$21.21	$21.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.15 / $26.15 / $32.69	Professional		$26.15	$26.15	$32.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.25 / $15.25 / $19.07	Professional	26	$15.25	$15.25	$19.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.90 / $10.90 / $13.62	Professional	TC	$10.90	$10.90	$13.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $15.41 / $22.37	Facility		$12.04	$15.41	$22.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $47.52 / $130.47	Professional		$26.41	$47.52	$130.47
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.59 / $29.06 / $95.76	Professional	26	$15.59	$29.06	$95.76
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $10.82 / $19.47 / $95.76	Professional	TC	$10.82	$19.47	$95.76
United Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $41.73 / $47.52	Professional		$22.01	$41.73	$47.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.25 / $27.02 / $28.05	Professional	26	$13.25	$27.02	$28.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.96 / $9.19 / $19.47	Professional	TC	$4.96	$9.19	$19.47