Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.00 / $22.00 / $34.96	Facility	26	$22.00	$22.00	$34.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $32.84 / $60.07	Professional		$29.85	$32.84	$60.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.55 / $21.89 / $28.73	Professional	26	$19.55	$21.89	$28.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.31 / $11.34 / $37.35	Professional	TC	$10.31	$11.34	$37.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.37 / $120.68 / $134.30	Professional		$100.37	$120.68	$134.30
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.24 / $47.19 / $51.74	Professional	26	$39.24	$47.19	$51.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.12 / $73.48 / $82.78	Professional	TC	$61.12	$73.48	$82.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.69 / $110.45 / $175.36	Professional		$78.69	$110.45	$175.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.26 / $44.89 / $67.44	Professional	26	$30.26	$44.89	$67.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.42 / $67.97 / $107.91	Professional	TC	$48.42	$67.97	$107.91
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $48.04 / $48.04 / $92.34	Facility	26	$48.04	$48.04	$92.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $62.87 / $355.02	Professional		$34.60	$62.87	$355.02
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.38 / $41.18 / $132.09	Professional	26	$22.38	$41.18	$132.09
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $10.47 / $25.98 / $222.93	Professional	TC	$10.47	$25.98	$222.93
United Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $62.90 / $106.40	Professional		$34.60	$62.90	$106.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.48 / $39.50 / $47.48	Professional	26	$23.48	$39.50	$47.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.47 / $38.17 / $61.00	Professional	TC	$10.47	$38.17	$61.00