Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.14 / $114.16 / $133.69	Professional		$88.14	$114.16	$133.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.88 / $18.98 / $22.34	Professional	26	$17.88	$18.98	$22.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.72 / $95.17 / $111.35	Professional	TC	$72.72	$95.17	$111.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.06 / $121.06 / $121.06	Professional		$121.06	$121.06	$121.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $98.72 / $208.55	Professional		$65.11	$98.72	$208.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.39 / $27.15 / $34.67	Professional	26	$15.39	$27.15	$34.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.45 / $82.70 / $179.82	Professional	TC	$51.45	$82.70	$179.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.73 / $121.47 / $751.09	Professional		$71.73	$121.47	$751.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $18.13 / $23.88 / $205.00	Professional	26	$18.13	$23.88	$205.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $53.61 / $100.03 / $630.88	Professional	TC	$53.61	$100.03	$630.88
United Facility/Professional Professional Modifier Low / Median / High Price $71.73 / $107.57 / $176.69	Professional		$71.73	$107.57	$176.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.13 / $21.44 / $32.18	Professional	26	$18.13	$21.44	$32.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.61 / $89.84 / $152.27	Professional	TC	$53.61	$89.84	$152.27