Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $138.04 / $562.34	Facility	26	$75.86	$138.04	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $169.82	Professional		$109.65	$138.04	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $48.98 / $60.26	Professional	TC	$38.02	$48.98	$60.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $194.98	Professional		$95.50	$141.25	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $288.40	Professional		$125.89	$158.49	$288.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $53.70 / $93.33	Professional	TC	$43.65	$53.70	$93.33
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $218.78 / $426.58 / $426.58	Facility	26	$218.78	$426.58	$426.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $1,148.15	Professional		$125.89	$169.82	$1,148.15
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $61.66 / $588.84	Professional	TC	$41.69	$61.66	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $239.88	Professional		$123.03	$151.36	$239.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $53.70 / $93.33	Professional	TC	$41.69	$53.70	$93.33