Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.17 / $24.17 / $39.61	Facility	26	$24.17	$24.17	$39.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.67 / $131.53 / $149.87	Professional		$104.67	$131.53	$149.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.28 / $107.36 / $126.49	Professional	TC	$83.28	$107.36	$126.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.19 / $338.37 / $354.84	Professional		$274.19	$338.37	$354.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $228.81 / $282.37 / $296.13	Professional	TC	$228.81	$282.37	$296.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.26 / $26.26 / $26.26	Facility	26	$26.26	$26.26	$26.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.56 / $214.67 / $328.12	Professional		$110.56	$214.67	$328.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.88 / $180.16 / $275.37	Professional	TC	$83.88	$180.16	$275.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.48 / $227.52 / $923.37	Professional		$120.48	$227.52	$923.37
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $93.39 / $183.42 / $778.42	Professional	TC	$93.39	$183.42	$778.42
United Facility/Professional Professional Modifier Low / Median / High Price $120.48 / $219.06 / $325.70	Professional		$120.48	$219.06	$325.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $96.49 / $169.80 / $251.13	Professional	TC	$96.49	$169.80	$251.13