Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.44 / $14.44 / $27.96	Facility	26	$14.44	$14.44	$27.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.84 / $47.72 / $87.61	Professional		$36.84	$47.72	$87.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.39 / $13.95 / $27.96	Professional	26	$11.39	$13.95	$27.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.15 / $32.79 / $59.65	Professional	TC	$25.15	$32.79	$59.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.59 / $69.59 / $69.59	Professional		$69.59	$69.59	$69.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $55.84 / $79.84	Professional		$39.36	$55.84	$79.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.03 / $16.73 / $26.09	Professional	26	$12.03	$16.73	$26.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.61 / $39.10 / $55.34	Professional	TC	$26.61	$39.10	$55.34
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $28.55 / $28.55 / $80.00	Facility	26	$28.55	$28.55	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.50 / $55.84 / $251.93	Professional		$41.50	$55.84	$251.93
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.99 / $17.14 / $76.73	Professional	26	$12.99	$17.14	$76.73
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.51 / $39.00 / $175.19	Professional	TC	$28.51	$39.00	$175.19
United Facility/Professional Professional Modifier Low / Median / High Price $40.20 / $52.68 / $75.16	Professional		$40.20	$52.68	$75.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.95 / $16.05 / $23.96	Professional	26	$12.95	$16.05	$23.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.65 / $36.40 / $54.97	Professional	TC	$27.65	$36.40	$54.97