Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.51 / $4.51 / $4.51	Facility	26	$4.51	$4.51	$4.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $24.71 / $30.74	Professional		$15.77	$24.71	$30.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.74 / $5.00 / $6.06	Professional	26	$2.74	$5.00	$6.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.47 / $19.69 / $24.67	Professional	TC	$12.47	$19.69	$24.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $36.52 / $38.17	Professional		$29.59	$36.52	$38.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.26 / $6.49 / $6.78	Professional	26	$5.26	$6.49	$6.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.33 / $30.02 / $31.38	Professional	TC	$24.33	$30.02	$31.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $31.85 / $48.68	Professional		$22.19	$31.85	$48.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.53 / $5.57 / $7.87	Professional	26	$3.53	$5.57	$7.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.54 / $26.14 / $40.94	Professional	TC	$18.54	$26.14	$40.94
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $5.94 / $5.94 / $100.00	Facility	26	$5.94	$5.94	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $43.98 / $161.00	Professional		$22.74	$43.98	$161.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $4.74 / $9.49 / $54.00	Professional	26	$4.74	$9.49	$54.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $18.05 / $34.49 / $129.00	Professional	TC	$18.05	$34.49	$129.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $34.65 / $51.74	Professional		$17.98	$34.65	$51.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.20 / $7.61 / $10.66	Professional	26	$3.20	$7.61	$10.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.41 / $28.41 / $40.58	Professional	TC	$14.41	$28.41	$40.58