Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.48 / $8.48 / $13.69	Facility	26	$8.48	$8.48	$13.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $36.29 / $102.60	Professional		$27.05	$36.29	$102.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.81 / $8.74 / $32.93	Professional	26	$7.81	$8.74	$32.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.81 / $28.33 / $74.02	Professional	TC	$20.81	$28.33	$74.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.92 / $66.54 / $69.55	Professional		$53.92	$66.54	$69.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.78 / $19.48 / $20.35	Professional	26	$15.78	$19.48	$20.35
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.13 / $47.06 / $49.19	Professional	TC	$38.13	$47.06	$49.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $56.25 / $89.62	Professional		$39.90	$56.25	$89.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $15.97 / $24.65	Professional	26	$9.94	$15.97	$24.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.57 / $40.28 / $64.17	Professional	TC	$28.57	$40.28	$64.17
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $18.87 / $18.87 / $100.00	Facility	26	$18.87	$18.87	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $59.24 / $400.00	Professional		$35.42	$59.24	$400.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $15.56 / $32.68	Professional	26	$8.66	$15.56	$32.68
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.06 / $46.69 / $135.32	Professional	TC	$27.06	$46.69	$135.32
United Facility/Professional Professional Modifier Low / Median / High Price $30.85 / $51.05 / $80.73	Professional		$30.85	$51.05	$80.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $13.52 / $19.05	Professional	26	$8.36	$13.52	$19.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.59 / $38.40 / $58.79	Professional	TC	$22.59	$38.40	$58.79