Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.29 / $95.59 / $117.47	Professional		$73.29	$95.59	$117.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.12 / $17.30 / $19.67	Professional	26	$13.12	$17.30	$19.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.17 / $79.42 / $97.80	Professional	TC	$60.17	$79.42	$97.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.64 / $106.05 / $145.62	Professional		$23.64	$106.05	$145.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.77 / $90.52 / $139.57	Professional		$60.77	$90.52	$139.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.57 / $17.87 / $28.03	Professional	26	$15.57	$17.87	$28.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.32 / $70.48 / $114.25	Professional	TC	$43.32	$70.48	$114.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.53 / $111.58 / $751.09	Professional		$73.53	$111.58	$751.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.87 / $20.05 / $205.00	Professional	26	$16.87	$20.05	$205.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $55.34 / $86.39 / $630.88	Professional	TC	$55.34	$86.39	$630.88
United Facility/Professional Professional Modifier Low / Median / High Price $73.53 / $99.27 / $165.65	Professional		$73.53	$99.27	$165.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.70 / $18.52 / $31.40	Professional	26	$16.70	$18.52	$31.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.34 / $80.30 / $134.47	Professional	TC	$55.34	$80.30	$134.47