Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $53.70 / $72.44	Professional		$45.71	$53.70	$72.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $19.05 / $23.99	Professional	26	$15.14	$19.05	$23.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $37.15 / $48.98	Professional	TC	$25.70	$37.15	$48.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $213.80 / $218.78	Professional		$190.55	$213.80	$218.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $63.10 / $63.10	Professional	26	$56.23	$63.10	$63.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $151.36 / $154.88	Professional	TC	$134.90	$151.36	$154.88
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 / $38.02	Professional	26	$30.90	$30.90	$38.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $74.13 / $93.33	Professional	TC	$74.13	$74.13	$93.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $151.36 / $467.74	Professional		$131.83	$151.36	$467.74
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $57.54 / $186.21	Professional	26	$52.48	$57.54	$186.21
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $95.50 / $309.03	Professional	TC	$79.43	$95.50	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $144.54 / $223.87	Professional		$69.18	$144.54	$223.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $51.29 / $64.57	Professional	26	$26.30	$51.29	$64.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $89.13 / $158.49	Professional	TC	$43.65	$89.13	$158.49