Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.17 / $13.17 / $17.64	Facility	26	$13.17	$13.17	$17.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.72 / $64.06 / $186.86	Professional		$41.72	$64.06	$186.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.07 / $13.71 / $43.61	Professional	26	$10.07	$13.71	$43.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.19 / $48.89 / $105.02	Professional	TC	$29.19	$48.89	$105.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.93 / $94.94 / $99.23	Professional		$76.93	$94.94	$99.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.72 / $24.34 / $25.45	Professional	26	$19.72	$24.34	$25.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.21 / $70.59 / $73.79	Professional	TC	$57.21	$70.59	$73.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.01 / $81.65 / $129.44	Professional		$59.01	$81.65	$129.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.63 / $20.53 / $32.08	Professional	26	$14.63	$20.53	$32.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.39 / $62.30 / $97.36	Professional	TC	$44.39	$62.30	$97.36
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $23.82 / $23.82 / $100.00	Facility	26	$23.82	$23.82	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $98.98 / $632.00	Professional		$60.12	$98.98	$632.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.40 / $22.30 / $38.79	Professional	26	$14.40	$22.30	$38.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $46.80 / $76.95 / $259.02	Professional	TC	$46.80	$76.95	$259.02
United Facility/Professional Professional Modifier Low / Median / High Price $46.74 / $85.96 / $142.84	Professional		$46.74	$85.96	$142.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.69 / $18.37 / $31.24	Professional	26	$11.69	$18.37	$31.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.21 / $67.59 / $100.45	Professional	TC	$34.21	$67.59	$100.45