Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $89.13 / $95.50	Facility	26	$47.86	$89.13	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $309.03	Professional		$158.49	$204.17	$309.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $158.49 / $251.19	Professional	TC	$125.89	$158.49	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $316.23 / $407.38	Professional		$74.13	$316.23	$407.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $257.04 / $316.23	Professional	TC	$154.88	$257.04	$316.23
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $102.33 / $102.33	Facility	26	$102.33	$102.33	$102.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $275.42 / $1,380.38	Professional		$223.87	$275.42	$1,380.38
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $223.87 / $1,174.90	Professional	TC	$177.83	$223.87	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $251.19 / $346.74	Professional		$223.87	$251.19	$346.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $204.17 / $281.84	Professional	TC	$177.83	$204.17	$281.84