Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $64.43 / $165.18	Professional		$48.50	$64.43	$165.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.32 / $25.08 / $69.83	Professional	26	$20.32	$25.08	$69.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.16 / $38.96 / $95.32	Professional	TC	$28.16	$38.96	$95.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.66 / $191.73 / $203.55	Professional		$181.66	$191.73	$203.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.31 / $67.56 / $68.70	Professional	26	$61.31	$67.56	$68.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $120.35 / $124.16 / $134.85	Professional	TC	$120.35	$124.16	$134.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.36 / $100.36 / $125.45	Professional		$100.36	$100.36	$125.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.45 / $33.45 / $41.82	Professional	26	$33.45	$33.45	$41.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.91 / $66.91 / $83.63	Professional	TC	$66.91	$66.91	$83.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.58 / $152.80 / $424.65	Professional		$83.58	$152.80	$424.65
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $35.08 / $63.73 / $214.00	Professional	26	$35.08	$63.73	$214.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $48.50 / $90.12 / $272.93	Professional	TC	$48.50	$90.12	$272.93
United Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $71.04 / $152.80	Professional		$69.65	$71.04	$152.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.81 / $60.80 / $63.73	Professional	26	$29.81	$60.80	$63.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.23 / $84.07 / $89.07	Professional	TC	$41.23	$84.07	$89.07