Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.86 / $28.86 / $46.60	Facility	26	$28.86	$28.86	$46.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.67 / $64.34 / $169.34	Professional		$59.67	$64.34	$169.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.64 / $29.30 / $46.60	Professional	26	$26.64	$29.30	$46.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.85 / $34.52 / $62.65	Professional	TC	$30.85	$34.52	$62.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.14 / $146.97 / $161.13	Professional		$67.14	$146.97	$161.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.26 / $62.66 / $68.93	Professional	26	$53.26	$62.66	$68.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $71.67 / $88.45 / $92.45	Professional	TC	$71.67	$88.45	$92.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.48 / $131.94 / $203.64	Professional		$77.48	$131.94	$203.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.04 / $55.55 / $85.74	Professional	26	$35.04	$55.55	$85.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.21 / $76.38 / $121.70	Professional	TC	$41.21	$76.38	$121.70
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $64.69 / $64.69 / $122.62	Facility	26	$64.69	$64.69	$122.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.54 / $108.65 / $717.26	Professional		$59.54	$108.65	$717.26
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $28.34 / $52.09 / $330.63	Professional	26	$28.34	$52.09	$330.63
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $31.04 / $56.59 / $563.89	Professional	TC	$31.04	$56.59	$563.89
United Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $102.61 / $130.66	Professional		$60.27	$102.61	$130.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.28 / $47.18 / $64.90	Professional	26	$28.28	$47.18	$64.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.96 / $53.41 / $68.29	Professional	TC	$30.96	$53.41	$68.29