Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $42.00 / $42.00	Facility		$18.77	$42.00	$42.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.48 / $12.00 / $12.00	Facility	26	$2.48	$12.00	$12.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $18.77 / $39.11	Professional		$17.42	$18.77	$39.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.33 / $2.48 / $4.51	Professional	26	$2.33	$2.48	$4.51
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $8.71 / $9.30 / $13.71	Professional	52	$8.71	$9.30	$13.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.10 / $16.29 / $30.15	Professional	TC	$15.10	$16.29	$30.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $33.58 / $33.58	Professional		$28.54	$33.58	$33.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $36.22 / $71.00	Professional		$20.39	$36.22	$71.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.82 / $5.14 / $21.00	Professional	26	$2.82	$5.14	$21.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.98 / $30.36 / $50.00	Professional	TC	$17.98	$30.36	$50.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $35.71 / $66.70	Facility		$18.77	$35.71	$66.70
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $13.48 / $13.48 / $100.00	Facility	26	$13.48	$13.48	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.38 / $48.25 / $311.26	Professional		$22.38	$48.25	$311.26
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $3.25 / $11.72 / $129.00	Professional	26	$3.25	$11.72	$129.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.07 / $36.02 / $252.63	Professional	TC	$19.07	$36.02	$252.63
United Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $27.98 / $56.29	Professional		$21.98	$27.98	$56.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.23 / $3.73 / $13.50	Professional	26	$3.23	$3.73	$13.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.35 / $21.04 / $40.18	Professional	TC	$18.35	$21.04	$40.18