Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $56.23 / $123.03	Professional		$46.77	$56.23	$123.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $19.95 / $51.29	Professional	26	$15.85	$19.95	$51.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $36.31 / $72.44	Professional	TC	$25.12	$36.31	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $213.80 / $213.80	Professional		$190.55	$213.80	$213.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $64.57 / $64.57	Professional	26	$56.23	$64.57	$64.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $151.36 / $151.36	Professional	TC	$131.83	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $131.83	Professional		$104.71	$104.71	$131.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $30.90 / $38.90	Professional	26	$30.90	$30.90	$38.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $74.13 / $91.20	Professional	TC	$74.13	$74.13	$91.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $158.49 / $457.09	Professional		$147.91	$158.49	$457.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $58.88 / $158.49	Professional	26	$53.70	$58.88	$158.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $100.00 / $302.00	Professional	TC	$93.33	$100.00	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $151.36 / $223.87	Professional		$72.44	$151.36	$223.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $51.29 / $66.07	Professional	26	$26.92	$51.29	$66.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $95.50 / $154.88	Professional	TC	$45.71	$95.50	$154.88