Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.33 / $15.33 / $23.60	Facility	26	$15.33	$15.33	$23.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.92 / $52.32 / $61.18	Professional		$50.92	$52.32	$61.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.05 / $15.48 / $16.85	Professional	26	$15.05	$15.48	$16.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.45 / $36.99 / $44.33	Professional	TC	$35.45	$36.99	$44.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.54 / $95.92 / $111.49	Professional		$81.54	$95.92	$111.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.38 / $31.72 / $35.47	Professional	26	$26.38	$31.72	$35.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.58 / $64.20 / $76.02	Professional	TC	$54.58	$64.20	$76.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.55 / $92.77 / $139.38	Professional		$62.55	$92.77	$139.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.18 / $29.93 / $44.96	Professional	26	$20.18	$29.93	$44.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.37 / $62.84 / $94.42	Professional	TC	$42.37	$62.84	$94.42
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 $52.69 / $101.83 / $541.00	Professional		$52.69	$101.83	$541.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $15.52 / $30.03 / $91.83	Professional	26	$15.52	$30.03	$91.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $37.17 / $71.80 / $217.68	Professional	TC	$37.17	$71.80	$217.68
United Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $95.98 / $112.93	Professional		$52.69	$95.98	$112.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.52 / $27.18 / $33.09	Professional	26	$15.52	$27.18	$33.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.17 / $65.79 / $79.84	Professional	TC	$37.17	$65.79	$79.84