Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $63.10 / $109.65	Professional		$45.71	$63.10	$109.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $25.12 / $85.11	Professional	26	$19.05	$25.12	$85.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $38.90 / $61.66	Professional	TC	$25.70	$38.90	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $61.66 / $85.11	Professional		$26.30	$61.66	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $60.26 / $128.82	Professional		$30.20	$60.26	$128.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $34.67 / $48.98	Professional	26	$12.88	$34.67	$48.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $23.44 / $85.11	Professional	TC	$17.38	$23.44	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $89.13 / $426.58	Professional		$35.48	$89.13	$426.58
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $39.81 / $213.80	Professional	26	$16.60	$39.81	$213.80
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $48.98 / $275.42	Professional	TC	$19.05	$48.98	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $58.88 / $141.25	Professional		$35.48	$58.88	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $27.54 / $46.77	Professional	26	$16.22	$27.54	$46.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $31.62 / $67.61	Professional	TC	$19.05	$31.62	$67.61