Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.75 / $20.75 / $20.75	Facility	26	$20.75	$20.75	$20.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $72.78 / $79.77	Professional		$68.06	$72.78	$79.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.82 / $19.57 / $20.95	Professional	26	$17.82	$19.57	$20.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.22 / $54.46 / $59.30	Professional	TC	$50.22	$54.46	$59.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.05 / $158.56 / $187.34	Professional		$146.05	$158.56	$187.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.89 / $42.80 / $50.56	Professional	26	$39.89	$42.80	$50.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $106.16 / $115.76 / $136.78	Professional	TC	$106.16	$115.76	$136.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $87.11 / $110.15	Professional		$67.55	$87.11	$110.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.45 / $23.48 / $30.08	Professional	26	$18.45	$23.48	$30.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.10 / $63.63 / $80.06	Professional	TC	$49.10	$63.63	$80.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.51 / $143.97 / $468.55	Professional		$76.51	$143.97	$468.55
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.98 / $38.72 / $126.27	Professional	26	$19.98	$38.72	$126.27
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $55.58 / $110.78 / $342.28	Professional	TC	$55.58	$110.78	$342.28
United Facility/Professional Professional Modifier Low / Median / High Price $76.51 / $130.34 / $191.67	Professional		$76.51	$130.34	$191.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.93 / $38.47 / $56.86	Professional	26	$20.93	$38.47	$56.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.58 / $101.12 / $139.80	Professional	TC	$55.58	$101.12	$139.80