Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $30.20 / $47.86	Facility	26	$28.18	$30.20	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $93.33 / $134.90	Professional		$72.44	$93.33	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $64.57 / $91.20	Professional	TC	$48.98	$64.57	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $229.09	Professional		$154.88	$204.17	$229.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $141.25 / $154.88	Professional	TC	$107.15	$141.25	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $239.88	Professional		$85.11	$134.90	$239.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $93.33 / $165.96	Professional	TC	$53.70	$93.33	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $173.78 / $676.08	Professional		$93.33	$173.78	$676.08
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $114.82 / $512.86	Professional	TC	$64.57	$114.82	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $154.88 / $239.88	Professional		$93.33	$154.88	$239.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $102.33 / $162.18	Professional	TC	$64.57	$102.33	$162.18