Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.25 / $3.25 / $5.24	Facility	26	$3.25	$3.25	$5.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $37.20 / $142.99	Professional		$24.82	$37.20	$142.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.99 / $3.81 / $54.29	Professional	26	$2.99	$3.81	$54.29
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.93 / $12.63 / $14.19	Professional	52	$10.93	$12.63	$14.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.01 / $35.28 / $147.91	Professional	TC	$22.01	$35.28	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.71 / $55.17 / $58.03	Professional		$44.71	$55.17	$58.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.92 / $7.31 / $7.64	Professional	26	$5.92	$7.31	$7.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.79 / $47.88 / $50.56	Professional	TC	$38.79	$47.88	$50.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.49 / $3.49 / $3.49	Facility	26	$3.49	$3.49	$3.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.01 / $54.87 / $105.85	Professional		$32.01	$54.87	$105.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.76 / $6.31 / $9.49	Professional	26	$3.76	$6.31	$9.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.12 / $47.28 / $98.81	Professional	TC	$28.12	$47.28	$98.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $51.68 / $724.06	Professional		$28.42	$51.68	$724.06
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $3.55 / $6.14 / $289.41	Professional	26	$3.55	$6.14	$289.41
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.87 / $45.22 / $660.75	Professional	TC	$24.87	$45.22	$660.75
United Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $44.71 / $61.17	Professional		$25.26	$44.71	$61.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.55 / $5.96 / $7.81	Professional	26	$3.55	$5.96	$7.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.01 / $38.96 / $53.36	Professional	TC	$22.01	$38.96	$53.36