Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $63.10 / $93.33	Facility		$21.38	$63.10	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $21.88	Professional		$12.02	$15.85	$21.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $24.55 / $66.07	Professional	26	$8.91	$24.55	$66.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.01 / $8.13 / $72.44	Professional	TC	$5.01	$8.13	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $52.48 / $52.48	Professional		$45.71	$52.48	$52.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $30.90 / $30.90	Professional	26	$27.54	$30.90	$30.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $21.38 / $21.38	Professional	TC	$19.05	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $32.36	Professional		$26.30	$26.30	$32.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $15.14 / $19.05	Professional	26	$15.14	$15.14	$19.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $10.96 / $13.49	Professional	TC	$10.96	$10.96	$13.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $15.49 / $22.39	Facility		$12.02	$15.49	$22.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $47.86 / $131.83	Professional		$11.75	$47.86	$131.83
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $28.84 / $95.50	Professional	26	$23.99	$28.84	$95.50
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $19.50 / $95.50	Professional	TC	$18.20	$19.50	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $41.69 / $52.48	Professional		$21.88	$41.69	$52.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $24.55 / $30.90	Professional	26	$12.88	$24.55	$30.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.12 / $17.38 / $21.88	Professional	TC	$9.12	$17.38	$21.88