Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $173.78 / $190.55	Facility	26	$138.04	$173.78	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $208.93	Professional		$72.44	$107.15	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $66.07 / $138.04	Professional	TC	$45.71	$66.07	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $186.21	Professional		$81.28	$104.71	$186.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $69.18 / $123.03	Professional	TC	$53.70	$69.18	$123.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $45.71 / $64.57	Facility	26	$9.77	$45.71	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $144.54 / $245.47	Professional		$83.18	$144.54	$245.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $95.50 / $181.97	Professional	TC	$50.12	$95.50	$181.97
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $181.97 / $181.97	Facility	26	$93.33	$181.97	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $147.91 / $1,122.02	Professional		$93.33	$147.91	$1,122.02
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $97.72 / $912.01	Professional	TC	$53.70	$97.72	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $199.53	Professional		$97.72	$134.90	$199.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $89.13 / $144.54	Professional	TC	$54.95	$89.13	$144.54