Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.57 / $18.57 / $29.99	Facility	26	$18.57	$18.57	$29.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.68 / $64.03 / $122.95	Professional		$53.68	$64.03	$122.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.37 / $20.48 / $127.27	Professional	26	$18.37	$20.48	$127.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.40 / $45.64 / $88.20	Professional	TC	$33.40	$45.64	$88.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.63 / $121.71 / $127.64	Professional		$98.63	$121.71	$127.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.20 / $42.20 / $44.10	Professional	26	$34.20	$42.20	$44.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.43 / $79.52 / $83.39	Professional	TC	$64.43	$79.52	$83.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.10 / $20.10 / $20.10	Facility	26	$20.10	$20.10	$20.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $107.23 / $158.22	Professional		$68.84	$107.23	$158.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.61 / $35.59 / $53.80	Professional	26	$21.61	$35.59	$53.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.91 / $70.09 / $106.91	Professional	TC	$44.91	$70.09	$106.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.23 / $102.81 / $604.11	Professional		$60.23	$102.81	$604.11
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.29 / $34.74 / $456.30	Professional	26	$20.29	$34.74	$456.30
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $39.88 / $68.44 / $388.70	Professional	TC	$39.88	$68.44	$388.70
United Facility/Professional Professional Modifier Low / Median / High Price $60.23 / $100.03 / $131.38	Professional		$60.23	$100.03	$131.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.77 / $31.91 / $44.53	Professional	26	$18.77	$31.91	$44.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.72 / $63.24 / $86.02	Professional	TC	$35.72	$63.24	$86.02