Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $40.74 / $245.47	Facility	26	$30.90	$40.74	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $154.88	Professional		$72.44	$104.71	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $66.07 / $102.33	Professional	TC	$46.77	$66.07	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $100.00 / $138.04	Professional		$38.90	$100.00	$138.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $38.02 / $60.26	Facility	26	$38.02	$38.02	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $218.78	Professional		$83.18	$120.23	$218.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $83.18 / $151.36	Professional	TC	$50.12	$83.18	$151.36
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 $89.13 / $138.04 / $1,122.02	Professional		$89.13	$138.04	$1,122.02
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $87.10 / $912.01	Professional	TC	$50.12	$87.10	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $199.53	Professional		$83.18	$107.15	$199.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $64.57 / $141.25	Professional	TC	$48.98	$64.57	$141.25