Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.14 / $133.38 / $166.72	Facility	26	$55.14	$133.38	$166.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.64 / $111.90 / $180.35	Professional		$71.64	$111.90	$180.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.83 / $70.95 / $118.51	Professional	TC	$45.83	$70.95	$118.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.40 / $93.03 / $116.29	Professional		$81.40	$93.03	$116.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.75 / $61.42 / $76.78	Professional	TC	$53.75	$61.42	$76.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.47 / $45.47 / $45.47	Facility	26	$45.47	$45.47	$45.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.48 / $148.50 / $246.67	Professional		$87.48	$148.50	$246.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.26 / $100.56 / $187.78	Professional	TC	$51.26	$100.56	$187.78
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $180.13 / $180.13 / $180.13	Facility	26	$180.13	$180.13	$180.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.66 / $150.10 / $1,114.04	Professional		$104.66	$150.10	$1,114.04
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $62.80 / $104.95 / $909.46	Professional	TC	$62.80	$104.95	$909.46
United Facility/Professional Professional Modifier Low / Median / High Price $93.67 / $134.44 / $213.66	Professional		$93.67	$134.44	$213.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.64 / $88.80 / $140.16	Professional	TC	$61.64	$88.80	$140.16