Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $27.00 / $32.49	Professional		$22.31	$27.00	$32.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.01 / $23.23 / $25.58	Professional	26	$19.01	$23.23	$25.58
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.16 / $13.74 / $16.25	Professional	52	$11.16	$13.74	$16.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.29 / $3.77 / $4.50	Professional	TC	$3.29	$3.77	$4.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.43 / $20.17 / $33.64	Professional		$17.43	$20.17	$33.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $35.20 / $54.19	Professional		$20.17	$35.20	$54.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.48 / $26.00 / $33.74	Professional	26	$17.48	$26.00	$33.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.68 / $4.51 / $34.85	Professional	TC	$2.68	$4.51	$34.85
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $57.67 / $57.67 / $112.04	Facility	26	$57.67	$57.67	$112.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $31.84 / $100.14	Professional		$24.26	$31.84	$100.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.63 / $23.37 / $156.38	Professional	26	$16.63	$23.37	$156.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $3.03 / $4.34 / $211.93	Professional	TC	$3.03	$4.34	$211.93
United Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $28.80 / $61.44	Professional		$24.00	$28.80	$61.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.35 / $22.08 / $31.18	Professional	26	$16.35	$22.08	$31.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.82 / $4.12 / $42.17	Professional	TC	$2.82	$4.12	$42.17