Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.94 / $18.94 / $29.99	Facility	26	$18.94	$18.94	$29.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $41.57 / $62.22	Professional		$37.79	$41.57	$62.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.94 / $21.35 / $29.87	Professional	26	$18.94	$21.35	$29.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.44 / $18.07 / $36.21	Professional	TC	$16.44	$18.07	$36.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.64 / $111.39 / $123.32	Professional		$92.64	$111.39	$123.32
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.46 / $40.22 / $44.10	Professional	26	$33.46	$40.22	$44.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $59.19 / $71.17 / $79.40	Professional	TC	$59.19	$71.17	$79.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.63 / $101.95 / $161.87	Professional		$72.63	$101.95	$161.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.72 / $38.15 / $57.33	Professional	26	$25.72	$38.15	$57.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.91 / $65.84 / $104.54	Professional	TC	$46.91	$65.84	$104.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $41.24 / $41.24 / $98.31	Facility	26	$41.24	$41.24	$98.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.52 / $69.18 / $351.65	Professional		$40.52	$69.18	$351.65
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.13 / $39.47 / $131.37	Professional	26	$19.13	$39.47	$131.37
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.39 / $29.82 / $214.27	Professional	TC	$16.39	$29.82	$214.27
United Facility/Professional Professional Modifier Low / Median / High Price $40.52 / $72.90 / $97.77	Professional		$40.52	$72.90	$97.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.13 / $33.86 / $43.86	Professional	26	$19.13	$33.86	$43.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $45.35 / $87.04	Professional	TC	$17.89	$45.35	$87.04