Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.23 / $20.23 / $24.47	Facility	26	$20.23	$20.23	$24.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $55.02 / $78.20	Professional		$37.11	$55.02	$78.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.06 / $16.86 / $25.30	Professional	26	$12.06	$16.86	$25.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.07 / $37.60 / $52.91	Professional	TC	$25.07	$37.60	$52.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.95 / $78.69 / $78.69	Professional		$62.95	$78.69	$78.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.89 / $75.28 / $125.46	Professional		$54.89	$75.28	$125.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.13 / $22.32 / $36.18	Professional	26	$17.13	$22.32	$36.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.29 / $52.90 / $87.39	Professional	TC	$38.29	$52.90	$87.39
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $32.90 / $32.90 / $80.00	Facility	26	$32.90	$32.90	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.35 / $71.01 / $541.00	Professional		$54.35	$71.01	$541.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.26 / $21.16 / $91.83	Professional	26	$16.26	$21.16	$91.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $38.09 / $50.52 / $217.68	Professional	TC	$38.09	$50.52	$217.68
United Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $68.75 / $97.96	Professional		$52.69	$68.75	$97.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.52 / $20.05 / $31.02	Professional	26	$15.52	$20.05	$31.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.17 / $47.07 / $73.27	Professional	TC	$37.17	$47.07	$73.27