Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.78 / $131.78 / $131.78	Facility		$18.78	$131.78	$131.78
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.62 / $2.62 / $2.62	Facility	26	$2.62	$2.62	$2.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $18.88 / $29.01	Professional		$15.68	$18.88	$29.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.25 / $2.62 / $4.23	Professional	26	$2.25	$2.62	$4.23
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $7.84 / $9.44 / $11.89	Professional	52	$7.84	$9.44	$11.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.42 / $16.30 / $25.10	Professional	TC	$13.42	$16.30	$25.10
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 $3.50 / $20.65 / $28.36	Professional		$3.50	$20.65	$28.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.44 / $43.44 / $59.86	Facility		$43.44	$43.44	$59.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.86 / $12.86 / $15.96	Facility	26	$12.86	$12.86	$15.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $29.64 / $54.97	Professional		$21.24	$29.64	$54.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.18 / $4.59 / $12.66	Professional	26	$3.18	$4.59	$12.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.05 / $25.25 / $35.00	Professional	TC	$18.05	$25.25	$35.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.78 / $28.76 / $76.13	Facility		$18.78	$28.76	$76.13
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $13.48 / $100.00 / $100.00	Facility	26	$13.48	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $29.25 / $311.26	Professional		$19.85	$29.25	$311.26
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $2.83 / $6.16 / $129.00	Professional	26	$2.83	$6.16	$129.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.62 / $26.83 / $252.63	Professional	TC	$16.62	$26.83	$252.63
United Facility/Professional Professional Modifier Low / Median / High Price $19.02 / $23.50 / $53.40	Professional		$19.02	$23.50	$53.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.83 / $3.54 / $12.96	Professional	26	$2.83	$3.54	$12.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.26 / $20.09 / $40.99	Professional	TC	$16.26	$20.09	$40.99