Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $58.88 / $245.47	Professional		$41.69	$58.88	$245.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $20.89 / $83.18	Professional	26	$15.14	$20.89	$83.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $38.90 / $173.78	Professional	TC	$25.12	$38.90	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $60.26 / $81.28	Professional		$57.54	$60.26	$81.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $18.62 / $25.70	Professional	26	$18.20	$18.62	$25.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $40.74 / $56.23	Professional	TC	$39.81	$40.74	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $54.95 / $102.33	Professional		$30.20	$54.95	$102.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $24.55 / $33.88	Professional	26	$11.75	$24.55	$33.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $30.90 / $72.44	Professional	TC	$16.22	$30.90	$72.44
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	26	$112.20	$112.20	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $66.07 / $467.74	Professional		$33.88	$66.07	$467.74
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $25.70 / $186.21	Professional	26	$14.45	$25.70	$186.21
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $39.81 / $309.03	Professional	TC	$19.05	$39.81	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $46.77 / $97.72	Professional		$32.36	$46.77	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $15.85 / $33.88	Professional	26	$14.45	$15.85	$33.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $28.18 / $58.88	Professional	TC	$18.20	$28.18	$58.88