Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.51 / $63.57 / $148.96	Professional		$49.51	$63.57	$148.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.44 / $22.12 / $39.49	Professional	26	$18.44	$22.12	$39.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.07 / $41.81 / $109.46	Professional	TC	$31.07	$41.81	$109.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.21 / $96.21 / $96.21	Professional		$96.21	$96.21	$96.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $69.38 / $140.88	Professional		$34.54	$69.38	$140.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.13 / $33.65 / $49.99	Professional	26	$13.13	$33.65	$49.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.45 / $43.96 / $87.31	Professional	TC	$21.45	$43.96	$87.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $93.53 / $453.03	Professional		$49.74	$93.53	$453.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.34 / $37.29 / $158.49	Professional	26	$24.34	$37.29	$158.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.28 / $58.91 / $300.38	Professional	TC	$27.28	$58.91	$300.38
United Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $70.31 / $96.21	Professional		$49.74	$70.31	$96.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.23 / $27.07 / $37.90	Professional	26	$16.23	$27.07	$37.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.40 / $43.61 / $59.11	Professional	TC	$26.40	$43.61	$59.11