Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.25 / $14.25 / $14.25	Facility	26	$14.25	$14.25	$14.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $37.52 / $100.80	Professional		$28.34	$37.52	$100.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.99 / $14.25 / $34.71	Professional	26	$9.99	$14.25	$34.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.48 / $22.53 / $56.07	Professional	TC	$18.48	$22.53	$56.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.83 / $73.84 / $77.44	Professional		$59.83	$73.84	$77.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.38 / $25.16 / $26.29	Professional	26	$20.38	$25.16	$26.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.45 / $48.69 / $51.06	Professional	TC	$39.45	$48.69	$51.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.90 / $11.90 / $11.90	Facility	26	$11.90	$11.90	$11.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.83 / $54.65 / $94.94	Professional		$34.83	$54.65	$94.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.68 / $19.28 / $31.65	Professional	26	$12.68	$19.28	$31.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.89 / $35.90 / $63.29	Professional	TC	$19.89	$35.90	$63.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $73.70 / $195.66	Professional		$39.24	$73.70	$195.66
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.21 / $27.66 / $69.84	Professional	26	$15.21	$27.66	$69.84
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.87 / $47.42 / $129.61	Professional	TC	$23.87	$47.42	$129.61
United Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $70.95 / $89.64	Professional		$41.68	$70.95	$89.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.21 / $25.81 / $33.89	Professional	26	$15.21	$25.81	$33.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.87 / $45.67 / $55.79	Professional	TC	$23.87	$45.67	$55.79