Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.04 / $94.45 / $118.06	Facility	26	$39.04	$94.45	$118.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.39 / $91.29 / $121.19	Professional		$63.39	$91.29	$121.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.33 / $66.01 / $90.23	Professional	TC	$43.33	$66.01	$90.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $76.26 / $95.33	Professional		$66.73	$76.26	$95.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.68 / $54.49 / $68.11	Professional	TC	$47.68	$54.49	$68.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $31.62 / $31.62	Facility	26	$31.62	$31.62	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.36 / $124.31 / $197.71	Professional		$75.36	$124.31	$197.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.56 / $87.91 / $138.63	Professional	TC	$51.56	$87.91	$138.63
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $124.11 / $124.11 / $124.11	Facility	26	$124.11	$124.11	$124.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.09 / $117.87 / $673.71	Professional		$93.09	$117.87	$673.71
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $63.03 / $89.83 / $514.25	Professional	TC	$63.03	$89.83	$514.25
United Facility/Professional Professional Modifier Low / Median / High Price $93.09 / $114.03 / $211.40	Professional		$93.09	$114.03	$211.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.87 / $82.95 / $141.75	Professional	TC	$60.87	$82.95	$141.75