Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.81 / $12.81 / $12.81	Facility	26	$12.81	$12.81	$12.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $44.12 / $74.64	Professional		$38.76	$44.12	$74.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.24 / $12.81 / $18.69	Professional	26	$11.24	$12.81	$18.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.43 / $30.89 / $55.94	Professional	TC	$26.43	$30.89	$55.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.45 / $107.92 / $112.80	Professional		$87.45	$107.92	$112.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.83 / $29.21 / $30.53	Professional	26	$24.83	$29.21	$30.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.78 / $78.70 / $82.27	Professional	TC	$63.78	$78.70	$82.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.61 / $92.36 / $142.54	Professional		$52.61	$92.36	$142.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.55 / $24.30 / $37.51	Professional	26	$15.55	$24.30	$37.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.08 / $68.05 / $105.03	Professional	TC	$37.08	$68.05	$105.03
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 $41.33 / $68.62 / $251.93	Professional		$41.33	$68.62	$251.93
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $12.60 / $22.40 / $76.73	Professional	26	$12.60	$22.40	$76.73
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.51 / $46.22 / $175.19	Professional	TC	$28.51	$46.22	$175.19
United Facility/Professional Professional Modifier Low / Median / High Price $41.33 / $64.40 / $91.30	Professional		$41.33	$64.40	$91.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.96 / $20.97 / $30.51	Professional	26	$12.96	$20.97	$30.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.73 / $45.46 / $62.99	Professional	TC	$28.73	$45.46	$62.99