Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $22.91 / $39.81	Facility	26	$22.91	$22.91	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $81.28	Professional		$30.20	$36.31	$81.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $24.55 / $58.88	Professional	26	$19.95	$24.55	$58.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $12.02 / $22.39	Professional	TC	$10.00	$12.02	$22.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $89.13	Professional		$60.26	$79.43	$89.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $50.12 / $56.23	Professional	26	$38.02	$50.12	$56.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $29.51 / $32.36	Professional	TC	$22.39	$29.51	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $64.57 / $93.33	Professional		$38.90	$64.57	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $40.74 / $58.88	Professional	26	$26.30	$40.74	$58.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $23.99 / $35.48	Professional	TC	$13.49	$23.99	$35.48
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $51.29 / $97.72	Facility	26	$51.29	$51.29	$97.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $57.54 / $208.93	Professional		$33.11	$57.54	$208.93
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $38.90 / $138.04	Professional	26	$20.89	$38.90	$138.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $17.38 / $70.79	Professional	TC	$10.72	$17.38	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $47.86 / $83.18	Professional		$30.90	$47.86	$83.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $32.36 / $53.70	Professional	26	$19.95	$32.36	$53.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.47 / $15.85 / $28.18	Professional	TC	$10.47	$15.85	$28.18