Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.20 / $99.20 / $158.44	Facility	26	$99.20	$99.20	$158.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.80 / $150.80 / $236.17	Professional		$139.80	$150.80	$236.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.10 / $54.32 / $92.77	Professional	TC	$49.10	$54.32	$92.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.51 / $305.89 / $361.41	Professional		$280.51	$305.89	$361.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $103.58 / $112.96 / $133.46	Professional	TC	$103.58	$112.96	$133.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.06 / $276.58 / $380.68	Professional		$192.06	$276.58	$380.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.44 / $103.40 / $144.60	Professional	TC	$75.44	$103.40	$144.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.66 / $290.64 / $1,161.00	Professional		$152.66	$290.64	$1,161.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $51.97 / $95.29 / $585.04	Professional	TC	$51.97	$95.29	$585.04
United Facility/Professional Professional Modifier Low / Median / High Price $152.66 / $269.75 / $377.59	Professional		$152.66	$269.75	$377.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.97 / $87.55 / $130.09	Professional	TC	$51.97	$87.55	$130.09