Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.00 / $3.98 / $3.98	Facility	26	$2.00	$3.98	$3.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $21.88 / $36.31	Professional		$12.88	$21.88	$36.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.00 / $3.98 / $6.92	Professional	26	$2.00	$3.98	$6.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $16.98 / $28.18	Professional	TC	$10.96	$16.98	$28.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $34.67 / $38.90	Professional		$26.30	$34.67	$38.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.68 / $6.17 / $6.92	Professional	26	$4.68	$6.17	$6.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $28.84 / $31.62	Professional	TC	$21.38	$28.84	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.84 / $46.77	Professional		$21.38	$28.84	$46.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.55 / $5.13 / $7.94	Professional	26	$3.55	$5.13	$7.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $23.99 / $36.31	Professional	TC	$16.60	$23.99	$36.31
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $5.89 / $5.89 / $100.00	Facility	26	$5.89	$5.89	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $38.90 / $162.18	Professional		$21.88	$38.90	$162.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $4.68 / $8.32 / $53.70	Professional	26	$4.68	$8.32	$53.70
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $32.36 / $128.82	Professional	TC	$16.22	$32.36	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $30.90 / $48.98	Professional		$17.78	$30.90	$48.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.24 / $6.31 / $10.47	Professional	26	$3.24	$6.31	$10.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $25.12 / $38.90	Professional	TC	$14.13	$25.12	$38.90