Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.60 / $29.14 / $166.55	Facility	26	$22.60	$29.14	$166.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.93 / $83.15 / $95.79	Professional		$59.93	$83.15	$95.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.58 / $56.44 / $69.26	Professional	TC	$40.58	$56.44	$69.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $38.93 / $119.67	Professional		$28.35	$38.93	$119.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.63 / $26.63 / $42.85	Facility	26	$26.63	$26.63	$42.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.11 / $97.96 / $155.31	Professional		$74.11	$97.96	$155.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.31 / $70.04 / $110.13	Professional	TC	$50.31	$70.04	$110.13
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $64.91 / $124.11 / $124.11	Facility	26	$64.91	$124.11	$124.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.36 / $115.15 / $673.71	Professional		$84.36	$115.15	$673.71
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $53.99 / $87.89 / $514.25	Professional	TC	$53.99	$87.89	$514.25
United Facility/Professional Professional Modifier Low / Median / High Price $80.26 / $99.25 / $155.50	Professional		$80.26	$99.25	$155.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.24 / $73.54 / $108.65	Professional	TC	$51.24	$73.54	$108.65