Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $25.12 / $25.12	Facility	26	$20.42	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $75.86	Professional		$42.66	$52.48	$75.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.85 / $23.99	Professional	26	$12.88	$15.85	$23.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $36.31 / $52.48	Professional	TC	$28.84	$36.31	$52.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $125.89	Professional		$54.95	$74.13	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $21.38 / $45.71	Professional	26	$16.60	$21.38	$45.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $52.48 / $97.72	Professional	TC	$38.02	$52.48	$97.72
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $33.11 / $79.43	Facility	26	$33.11	$33.11	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $537.03	Professional		$52.48	$74.13	$537.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $21.88 / $91.20	Professional	26	$15.49	$21.88	$91.20
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $52.48 / $218.78	Professional	TC	$37.15	$52.48	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $97.72	Professional		$51.29	$69.18	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $20.42 / $29.51	Professional	26	$15.49	$20.42	$29.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $47.86 / $67.61	Professional	TC	$36.31	$47.86	$67.61