Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.47 / $21.47 / $34.65	Facility	26	$21.47	$21.47	$34.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $43.56 / $85.52	Professional		$39.60	$43.56	$85.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.23 / $22.23 / $31.34	Professional	26	$21.23	$22.23	$31.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.23 / $20.05 / $41.14	Professional	TC	$18.23	$20.05	$41.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.80 / $128.41 / $141.91	Professional		$106.80	$128.41	$141.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.60 / $46.42 / $50.88	Professional	26	$38.60	$46.42	$50.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.43 / $82.00 / $91.22	Professional	TC	$68.43	$82.00	$91.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $118.24 / $187.72	Professional		$84.23	$118.24	$187.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.76 / $44.14 / $66.31	Professional	26	$29.76	$44.14	$66.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.48 / $76.45 / $121.40	Professional	TC	$54.48	$76.45	$121.40
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $47.70 / $47.70 / $97.62	Facility	26	$47.70	$47.70	$97.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $70.51 / $378.70	Professional		$41.31	$70.51	$378.70
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.65 / $40.50 / $130.11	Professional	26	$21.65	$40.50	$130.11
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $31.96 / $242.47	Professional	TC	$17.57	$31.96	$242.47
United Facility/Professional Professional Modifier Low / Median / High Price $45.06 / $75.09 / $107.46	Professional		$45.06	$75.09	$107.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.65 / $38.32 / $47.63	Professional	26	$21.65	$38.32	$47.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.18 / $51.95 / $92.69	Professional	TC	$19.18	$51.95	$92.69