Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $100.00 / $158.49	Facility	26	$95.50	$100.00	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $218.78	Professional		$109.65	$151.36	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $51.29 / $79.43	Professional	TC	$38.90	$51.29	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $371.54	Professional		$251.19	$316.23	$371.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $114.82 / $138.04	Professional	TC	$93.33	$114.82	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $346.74	Professional		$190.55	$275.42	$346.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $102.33 / $144.54	Professional	TC	$67.61	$102.33	$144.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $1,148.15	Professional		$151.36	$275.42	$1,148.15
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $91.20 / $588.84	Professional	TC	$52.48	$91.20	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $269.15 / $380.19	Professional		$144.54	$269.15	$380.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $91.20 / $138.04	Professional	TC	$50.12	$91.20	$138.04