Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $280.14 / $280.14	Facility		$42.00	$280.14	$280.14
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.12 / $26.12 / $26.12	Facility	26	$26.12	$26.12	$26.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $42.00 / $90.51	Professional		$39.11	$42.00	$90.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.82 / $26.12 / $31.46	Professional	26	$23.82	$26.12	$31.46
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $18.76 / $21.00 / $21.85	Professional	52	$18.76	$21.00	$21.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.07 / $15.88 / $59.03	Professional	TC	$15.07	$15.88	$59.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.56 / $149.83 / $217.04	Facility		$111.56	$149.83	$217.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $51.10 / $70.17	Professional		$30.44	$51.10	$70.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.65 / $86.65 / $112.54	Facility		$86.65	$86.65	$112.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.38 / $34.38 / $42.57	Facility	26	$34.38	$34.38	$42.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.29 / $81.88 / $128.82	Professional		$49.29	$81.88	$128.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.79 / $38.95 / $47.84	Professional	26	$28.79	$38.95	$47.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.45 / $42.10 / $75.81	Professional	TC	$19.45	$42.10	$75.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $81.63 / $147.08	Facility		$42.00	$81.63	$147.08
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $68.52 / $134.74 / $134.74	Facility	26	$68.52	$134.74	$134.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.99 / $84.00 / $459.15	Professional		$53.99	$84.00	$459.15
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.00 / $33.68 / $188.73	Professional	26	$27.00	$33.68	$188.73
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.63 / $57.49 / $313.58	Professional	TC	$27.63	$57.49	$313.58
United Facility/Professional Professional Modifier Low / Median / High Price $55.26 / $73.23 / $120.44	Professional		$55.26	$73.23	$120.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.98 / $31.76 / $47.59	Professional	26	$26.98	$31.76	$47.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.99 / $44.20 / $69.50	Professional	TC	$26.99	$44.20	$69.50