Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.83 / $30.83 / $46.91	Facility	26	$30.83	$30.83	$46.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.76 / $95.79 / $106.73	Professional		$75.76	$95.79	$106.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.27 / $67.30 / $78.43	Professional	TC	$51.27	$67.30	$78.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.59 / $214.22 / $224.65	Professional		$173.59	$214.22	$224.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $119.67 / $147.69 / $154.87	Professional	TC	$119.67	$147.69	$154.87
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 $85.73 / $141.87 / $232.25	Professional		$85.73	$141.87	$232.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.78 / $115.70 / $164.11	Professional	TC	$53.78	$115.70	$164.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.25 / $183.30 / $673.71	Professional		$99.25	$183.30	$673.71
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $66.54 / $120.98 / $514.25	Professional	TC	$66.54	$120.98	$514.25
United Facility/Professional Professional Modifier Low / Median / High Price $99.25 / $172.78 / $284.20	Professional		$99.25	$172.78	$284.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.54 / $114.93 / $198.50	Professional	TC	$66.54	$114.93	$198.50