Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.79 / $131.97 / $308.32	Facility		$74.79	$131.97	$308.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $54.35 / $69.56	Professional		$21.72	$54.35	$69.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.40 / $6.87 / $80.09	Professional	26	$5.40	$6.87	$80.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.10 / $53.33 / $120.37	Professional	TC	$25.10	$53.33	$120.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.69 / $84.47 / $84.81	Professional		$75.69	$84.47	$84.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.57 / $16.89 / $16.89	Professional	26	$16.57	$16.89	$16.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.55 / $67.56 / $67.84	Professional	TC	$60.55	$67.56	$67.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.58 / $43.58 / $54.48	Professional		$43.58	$43.58	$54.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $8.27 / $10.35	Professional	26	$8.27	$8.27	$10.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.29 / $35.29 / $44.12	Professional	TC	$35.29	$35.29	$44.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.60 / $25.11 / $46.00	Facility		$19.60	$25.11	$46.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $99.00 / $263.07	Professional		$37.68	$99.00	$263.07
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.17 / $16.05 / $145.30	Professional	26	$13.17	$16.05	$145.30
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $29.02 / $53.09 / $226.21	Professional	TC	$29.02	$53.09	$226.21
United Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $65.31 / $68.44	Professional		$32.03	$65.31	$68.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.33 / $11.64 / $18.09	Professional	26	$4.33	$11.64	$18.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.66 / $50.29 / $53.09	Professional	TC	$24.66	$50.29	$53.09