Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.55 / $22.55 / $22.55	Facility	26	$22.55	$22.55	$22.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $43.26 / $129.86	Professional		$31.08	$43.26	$129.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.05 / $23.39 / $36.81	Professional	26	$17.05	$23.39	$36.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.03 / $19.87 / $92.62	Professional	TC	$14.03	$19.87	$92.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.03 / $94.13 / $98.71	Professional		$74.03	$94.13	$98.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.42 / $51.12 / $53.44	Professional	26	$41.42	$51.12	$53.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.85 / $43.01 / $45.10	Professional	TC	$34.85	$43.01	$45.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.05 / $24.05 / $24.05	Facility	26	$24.05	$24.05	$24.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.58 / $91.70 / $160.00	Professional		$39.58	$91.70	$160.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.11 / $43.97 / $66.45	Professional	26	$22.11	$43.97	$66.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.52 / $40.99 / $110.86	Professional	TC	$17.52	$40.99	$110.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.67 / $90.61 / $764.92	Professional		$42.67	$90.61	$764.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.70 / $44.90 / $382.94	Professional	26	$24.70	$44.90	$382.94
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.97 / $36.22 / $585.86	Professional	TC	$17.97	$36.22	$585.86
United Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $69.81 / $113.07	Professional		$39.70	$69.81	$113.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.74 / $40.40 / $58.46	Professional	26	$22.74	$40.40	$58.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.96 / $29.41 / $61.94	Professional	TC	$16.96	$29.41	$61.94