Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $63.10 / $575.44	Professional		$52.48	$63.10	$575.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $20.89 / $169.82	Professional	26	$18.20	$20.89	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $41.69 / $407.38	Professional	TC	$30.90	$41.69	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $69.18 / $141.25	Professional		$34.67	$69.18	$141.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $30.20 / $50.12	Professional	26	$13.18	$30.20	$50.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $43.65 / $87.10	Professional	TC	$21.38	$43.65	$87.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $93.33 / $457.09	Professional		$43.65	$93.33	$457.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $35.48 / $158.49	Professional	26	$16.22	$35.48	$158.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $57.54 / $302.00	Professional	TC	$26.92	$57.54	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $70.79 / $102.33	Professional		$43.65	$70.79	$102.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $26.92 / $38.02	Professional	26	$16.22	$26.92	$38.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $43.65 / $63.10	Professional	TC	$26.30	$43.65	$63.10