Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.97 / $14.97 / $14.97	Facility	26	$14.97	$14.97	$14.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.81 / $39.56 / $65.01	Professional		$36.81	$39.56	$65.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.69 / $14.97 / $21.79	Professional	26	$13.69	$14.97	$21.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.42 / $25.83 / $43.20	Professional	TC	$23.42	$25.83	$43.20
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 $27.62 / $34.08 / $35.61	Professional	26	$27.62	$34.08	$35.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.73 / $60.86 / $63.61	Professional	TC	$51.73	$60.86	$63.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.46 / $81.23 / $125.40	Professional		$46.46	$81.23	$125.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.01 / $28.47 / $43.94	Professional	26	$18.01	$28.47	$43.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.93 / $52.77 / $81.45	Professional	TC	$28.93	$52.77	$81.45
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $33.53 / $33.53 / $100.00	Facility	26	$33.53	$33.53	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $67.78 / $348.00	Professional		$37.57	$67.78	$348.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.61 / $26.23 / $89.60	Professional	26	$14.61	$26.23	$89.60
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $24.10 / $44.26 / $198.00	Professional	TC	$24.10	$44.26	$198.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.06 / $61.15 / $85.41	Professional		$35.06	$61.15	$85.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.66 / $25.35 / $33.95	Professional	26	$14.66	$25.35	$33.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.48 / $42.06 / $53.99	Professional	TC	$24.48	$42.06	$53.99