Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.68 / $53.47 / $140.41	Professional		$47.68	$53.47	$140.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.09 / $22.60 / $39.50	Professional	26	$16.09	$22.60	$39.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.55 / $36.93 / $109.46	Professional	TC	$30.55	$36.93	$109.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.68 / $57.08 / $64.22	Professional		$35.68	$57.08	$64.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.46 / $18.34 / $20.63	Professional	26	$11.46	$18.34	$20.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.22 / $38.74 / $43.59	Professional	TC	$24.22	$38.74	$43.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $45.44 / $97.98	Professional		$27.77	$45.44	$97.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.03 / $21.41 / $34.47	Professional	26	$12.03	$21.41	$34.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.69 / $26.76 / $57.95	Professional	TC	$14.69	$26.76	$57.95
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $113.54 / $113.54 / $113.54	Facility	26	$113.54	$113.54	$113.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $66.73 / $453.03	Professional		$30.73	$66.73	$453.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.33 / $26.72 / $158.49	Professional	26	$14.33	$26.72	$158.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.37 / $41.83 / $300.38	Professional	TC	$16.37	$41.83	$300.38
United Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $45.55 / $90.45	Professional		$30.70	$45.55	$90.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.50 / $16.23 / $34.88	Professional	26	$14.50	$16.23	$34.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.14 / $29.22 / $50.01	Professional	TC	$16.14	$29.22	$50.01