Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.09 / $23.09 / $37.27	Facility	26	$23.09	$23.09	$37.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.95 / $33.72 / $55.39	Professional		$32.95	$33.72	$55.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.33 / $23.09 / $51.62	Professional	26	$21.33	$23.09	$51.62
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.85 / $17.17 / $19.48	Professional	52	$15.85	$17.17	$19.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.64 / $11.64 / $21.76	Professional	TC	$10.64	$11.64	$21.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.72 / $83.58 / $87.35	Professional		$67.72	$83.58	$87.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.74 / $52.74 / $55.12	Professional	26	$42.74	$52.74	$55.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.99 / $30.54 / $32.22	Professional	TC	$24.99	$30.54	$32.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.06 / $70.83 / $109.32	Professional		$44.06	$70.83	$109.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.05 / $44.44 / $68.59	Professional	26	$29.05	$44.44	$68.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.20 / $26.39 / $40.72	Professional	TC	$14.20	$26.39	$40.72
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $51.77 / $51.77 / $98.42	Facility	26	$51.77	$51.77	$98.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.74 / $60.15 / $209.51	Professional		$33.74	$60.15	$209.51
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.75 / $41.40 / $138.46	Professional	26	$22.75	$41.40	$138.46
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $10.83 / $19.23 / $71.05	Professional	TC	$10.83	$19.23	$71.05
United Facility/Professional Professional Modifier Low / Median / High Price $33.74 / $53.21 / $75.44	Professional		$33.74	$53.21	$75.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.40 / $37.86 / $54.74	Professional	26	$23.40	$37.86	$54.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.83 / $19.07 / $23.83	Professional	TC	$10.83	$19.07	$23.83