Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.09 / $110.83 / $290.01	Facility		$43.09	$110.83	$290.01
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.74 / $31.67 / $38.77	Facility	26	$25.74	$31.67	$38.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $43.25 / $90.51	Professional		$35.90	$43.25	$90.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.08 / $27.56 / $37.59	Professional	26	$23.08	$27.56	$37.59
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $17.96 / $19.55 / $28.90	Professional	52	$17.96	$19.55	$28.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.83 / $15.56 / $59.03	Professional	TC	$12.83	$15.56	$59.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.79 / $97.79 / $97.79	Professional		$97.79	$97.79	$97.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.57 / $90.41 / $155.25	Professional		$45.57	$90.41	$155.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.02 / $43.27 / $61.77	Professional	26	$28.02	$43.27	$61.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.67 / $48.10 / $99.90	Professional	TC	$16.67	$48.10	$99.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.99 / $66.22 / $142.80	Facility		$36.99	$66.22	$142.80
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $68.52 / $68.52 / $134.74	Facility	26	$68.52	$68.52	$134.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.52 / $93.38 / $459.15	Professional		$63.52	$93.38	$459.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $30.81 / $36.42 / $188.73	Professional	26	$30.81	$36.42	$188.73
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $31.69 / $61.30 / $313.58	Professional	TC	$31.69	$61.30	$313.58
United Facility/Professional Professional Modifier Low / Median / High Price $61.73 / $81.31 / $120.19	Professional		$61.73	$81.31	$120.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.40 / $33.14 / $47.34	Professional	26	$29.40	$33.14	$47.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.47 / $38.08 / $71.95	Professional	TC	$30.47	$38.08	$71.95