Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.46 / $50.52 / $71.73	Professional		$47.46	$50.52	$71.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.82 / $20.85 / $24.87	Professional	26	$18.82	$20.85	$24.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.60 / $31.70 / $47.92	Professional	TC	$26.60	$31.70	$47.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.23 / $201.87 / $212.03	Professional		$189.23	$201.87	$212.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.77 / $62.51 / $63.61	Professional	26	$56.77	$62.51	$63.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $132.46 / $139.37 / $148.41	Professional	TC	$132.46	$139.37	$148.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $104.49 / $130.61	Professional		$104.49	$104.49	$130.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.98 / $30.98 / $38.72	Professional	26	$30.98	$30.98	$38.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.51 / $73.51 / $91.89	Professional	TC	$73.51	$73.51	$91.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.05 / $159.26 / $453.03	Professional		$87.05	$159.26	$453.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $32.49 / $59.00 / $158.49	Professional	26	$32.49	$59.00	$158.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $54.56 / $100.26 / $300.38	Professional	TC	$54.56	$100.26	$300.38
United Facility/Professional Professional Modifier Low / Median / High Price $73.98 / $159.26 / $159.26	Professional		$73.98	$159.26	$159.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.61 / $56.31 / $59.00	Professional	26	$27.61	$56.31	$59.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.38 / $94.57 / $100.26	Professional	TC	$46.38	$94.57	$100.26