Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.46 / $53.47 / $86.86	Professional		$47.46	$53.47	$86.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.88 / $21.91 / $27.89	Professional	26	$15.88	$21.91	$27.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.21 / $31.57 / $53.80	Professional	TC	$27.21	$31.57	$53.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.94 / $57.50 / $64.69	Professional		$35.94	$57.50	$64.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.31 / $18.10 / $20.36	Professional	26	$11.31	$18.10	$20.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.63 / $39.40 / $44.33	Professional	TC	$24.63	$39.40	$44.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $49.25 / $89.20	Professional		$30.43	$49.25	$89.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.77 / $23.69 / $33.70	Professional	26	$11.77	$23.69	$33.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.20 / $28.05 / $53.03	Professional	TC	$14.20	$28.05	$53.03
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $112.04 / $112.04 / $112.04	Facility	26	$112.04	$112.04	$112.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $65.86 / $466.08	Professional		$33.65	$65.86	$466.08
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.50 / $26.02 / $186.58	Professional	26	$14.50	$26.02	$186.58
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.10 / $39.84 / $309.75	Professional	TC	$19.10	$39.84	$309.75
United Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $46.56 / $76.62	Professional		$33.65	$46.56	$76.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.50 / $15.81 / $31.37	Professional	26	$14.50	$15.81	$31.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.53 / $31.51 / $55.79	Professional	TC	$17.53	$31.51	$55.79