Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.04 / $36.04 / $43.46	Facility	26	$36.04	$36.04	$43.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $71.45 / $105.18	Professional		$47.53	$71.45	$105.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.86 / $30.04 / $44.92	Professional	26	$22.86	$30.04	$44.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.67 / $41.42 / $60.26	Professional	TC	$18.67	$41.42	$60.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $79.88 / $79.88	Professional		$63.90	$79.88	$79.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.09 / $75.50 / $167.08	Professional		$47.09	$75.50	$167.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.79 / $38.88 / $62.68	Professional	26	$28.79	$38.88	$62.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.23 / $36.15 / $69.01	Professional	TC	$19.23	$36.15	$69.01
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $58.37 / $58.37 / $118.83	Facility	26	$58.37	$58.37	$118.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $66.75 / $398.18	Professional		$52.52	$66.75	$398.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.31 / $36.88 / $160.04	Professional	26	$27.31	$36.88	$160.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.26 / $30.27 / $238.14	Professional	TC	$21.26	$30.27	$238.14
United Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $65.83 / $124.21	Professional		$51.46	$65.83	$124.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.18 / $34.85 / $52.34	Professional	26	$27.18	$34.85	$52.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.13 / $29.33 / $56.20	Professional	TC	$20.13	$29.33	$56.20