Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.15 / $63.15 / $63.15	Facility		$63.15	$63.15	$63.15
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.57 / $31.57 / $31.57	Facility	26	$31.57	$31.57	$31.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.13 / $84.81 / $213.30	Professional		$46.13	$84.81	$213.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.10 / $31.46 / $62.65	Professional	26	$28.10	$31.46	$62.65
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $18.05 / $26.14 / $31.58	Professional	52	$18.05	$26.14	$31.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.88 / $56.46 / $85.65	Professional	TC	$15.88	$56.46	$85.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $114.41 / $119.58	Professional		$92.71	$114.41	$119.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.52 / $72.22 / $75.48	Professional	26	$58.52	$72.22	$75.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.20 / $42.20 / $44.10	Professional	TC	$34.20	$42.20	$44.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.57 / $52.57 / $52.57	Facility		$52.57	$52.57	$52.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.84 / $33.84 / $33.84	Facility	26	$33.84	$33.84	$33.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.48 / $100.57 / $158.49	Professional		$63.48	$100.57	$158.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.10 / $60.13 / $93.88	Professional	26	$31.10	$60.13	$93.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.87 / $45.14 / $70.77	Professional	TC	$25.87	$45.14	$70.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.71 / $82.51 / $151.32	Facility		$60.71	$82.51	$151.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.87 / $145.33 / $459.15	Professional		$69.87	$145.33	$459.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $31.76 / $57.92 / $188.73	Professional	26	$31.76	$57.92	$188.73
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $38.92 / $77.90 / $313.58	Professional	TC	$38.92	$77.90	$313.58
United Facility/Professional Professional Modifier Low / Median / High Price $63.52 / $115.85 / $166.56	Professional		$63.52	$115.85	$166.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.76 / $55.78 / $75.09	Professional	26	$31.76	$55.78	$75.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.99 / $68.16 / $110.88	Professional	TC	$26.99	$68.16	$110.88