Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $52.70 / $63.14	Professional		$39.65	$52.70	$63.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.55 / $32.60 / $92.56	Professional	26	$25.55	$32.60	$92.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.51 / $21.35 / $30.53	Professional	TC	$13.51	$21.35	$30.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.92 / $141.06 / $143.33	Professional		$127.92	$141.06	$143.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.95 / $86.16 / $87.35	Professional	26	$77.95	$86.16	$87.35
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.96 / $54.91 / $55.98	Professional	TC	$49.96	$54.91	$55.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $70.20 / $87.76	Professional		$70.20	$70.20	$87.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.54 / $42.54 / $53.17	Professional	26	$42.54	$42.54	$53.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.67 / $27.67 / $34.59	Professional	TC	$27.67	$27.67	$34.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $68.42 / $118.60 / $473.28	Professional		$68.42	$118.60	$473.28
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $69.08 / $85.28 / $346.00	Professional	26	$69.08	$85.28	$346.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $23.38 / $42.66 / $330.22	Professional	TC	$23.38	$42.66	$330.22
United Facility/Professional Professional Modifier Low / Median / High Price $58.16 / $68.42 / $124.68	Professional		$58.16	$68.42	$124.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.52 / $78.06 / $90.29	Professional	26	$22.52	$78.06	$90.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.88 / $40.54 / $46.18	Professional	TC	$19.88	$40.54	$46.18