Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.69 / $15.69 / $24.75	Facility	26	$15.69	$15.69	$24.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $30.54 / $51.69	Professional		$26.23	$30.54	$51.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.75 / $15.38 / $20.30	Professional	26	$13.75	$15.38	$20.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.47 / $14.69 / $35.83	Professional	TC	$12.47	$14.69	$35.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.57 / $102.89 / $114.03	Professional		$85.57	$102.89	$114.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.67 / $33.27 / $36.47	Professional	26	$27.67	$33.27	$36.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $59.18 / $73.02 / $77.70	Professional	TC	$59.18	$73.02	$77.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $94.16 / $149.50	Professional		$67.09	$94.16	$149.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.18 / $31.42 / $47.21	Professional	26	$21.18	$31.42	$47.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.90 / $64.43 / $102.29	Professional	TC	$45.90	$64.43	$102.29
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $33.90 / $33.90 / $80.00	Facility	26	$33.90	$33.90	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.04 / $53.48 / $306.10	Professional		$30.04	$53.48	$306.10
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.88 / $28.67 / $93.99	Professional	26	$15.88	$28.67	$93.99
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $13.24 / $25.26 / $212.11	Professional	TC	$13.24	$25.26	$212.11
United Facility/Professional Professional Modifier Low / Median / High Price $30.04 / $53.48 / $87.99	Professional		$30.04	$53.48	$87.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.72 / $28.78 / $37.27	Professional	26	$16.72	$28.78	$37.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.52 / $35.84 / $60.13	Professional	TC	$13.52	$35.84	$60.13