Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.70 / $26.70 / $42.52	Facility	26	$26.70	$26.70	$42.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $48.17 / $72.12	Professional		$43.79	$48.17	$72.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.92 / $27.60 / $41.54	Professional	26	$25.92	$27.60	$41.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.87 / $24.10 / $58.46	Professional	TC	$17.87	$24.10	$58.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.23 / $136.13 / $151.19	Professional		$113.23	$136.13	$151.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.61 / $57.25 / $62.76	Professional	26	$47.61	$57.25	$62.76
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $65.62 / $78.91 / $88.69	Professional	TC	$65.62	$78.91	$88.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.28 / $125.32 / $198.96	Professional		$89.28	$125.32	$198.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.33 / $55.36 / $83.18	Professional	26	$37.33	$55.36	$83.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.95 / $72.92 / $115.78	Professional	TC	$51.95	$72.92	$115.78
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 $46.44 / $79.28 / $398.18	Professional		$46.44	$79.28	$398.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $27.07 / $49.25 / $160.04	Professional	26	$27.07	$49.25	$160.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.59 / $31.98 / $238.14	Professional	TC	$17.59	$31.98	$238.14
United Facility/Professional Professional Modifier Low / Median / High Price $35.89 / $84.44 / $117.20	Professional		$35.89	$84.44	$117.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.82 / $47.91 / $59.55	Professional	26	$28.82	$47.91	$59.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.18 / $49.19 / $96.58	Professional	TC	$19.18	$49.19	$96.58