Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.42 / $87.65 / $497.12	Facility	26	$75.42	$87.65	$497.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.61 / $138.38 / $146.74	Professional		$95.61	$138.38	$146.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.45 / $48.90 / $52.94	Professional	TC	$33.45	$48.90	$52.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.26 / $141.05 / $193.68	Professional		$109.26	$141.05	$193.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.32 / $142.13 / $220.31	Professional		$125.32	$142.13	$220.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.24 / $47.98 / $73.55	Professional	TC	$41.24	$47.98	$73.55
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $219.19 / $425.13 / $425.13	Facility	26	$219.19	$425.13	$425.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.81 / $165.46 / $1,161.00	Professional		$132.81	$165.46	$1,161.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $42.50 / $63.80 / $585.04	Professional	TC	$42.50	$63.80	$585.04
United Facility/Professional Professional Modifier Low / Median / High Price $122.13 / $150.75 / $292.04	Professional		$122.13	$150.75	$292.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.58 / $57.17 / $99.42	Professional	TC	$41.58	$57.17	$99.42