Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $109.69 / $123.73	Professional		$69.38	$109.69	$123.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.19 / $18.53 / $19.05	Professional	26	$16.19	$18.53	$19.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.08 / $90.76 / $104.68	Professional	TC	$53.08	$90.76	$104.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.33 / $266.95 / $293.44	Professional		$216.33	$266.95	$293.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.82 / $45.44 / $47.66	Professional	26	$36.82	$45.44	$47.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $179.50 / $221.52 / $246.19	Professional	TC	$179.50	$221.52	$246.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.64 / $169.51 / $272.69	Professional		$79.64	$169.51	$272.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.73 / $34.58 / $48.02	Professional	26	$18.73	$34.58	$48.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.36 / $141.59 / $227.79	Professional	TC	$57.36	$141.59	$227.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.36 / $175.66 / $751.09	Professional		$100.36	$175.66	$751.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $19.03 / $36.88 / $205.00	Professional	26	$19.03	$36.88	$205.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $72.75 / $154.29 / $630.88	Professional	TC	$72.75	$154.29	$630.88
United Facility/Professional Professional Modifier Low / Median / High Price $100.36 / $170.58 / $270.17	Professional		$100.36	$170.58	$270.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.69 / $35.39 / $47.05	Professional	26	$19.69	$35.39	$47.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.06 / $131.76 / $209.67	Professional	TC	$79.06	$131.76	$209.67