Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $131.83 / $309.03	Facility		$74.13	$131.83	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.92 / $64.57	Professional		$20.89	$26.92	$64.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.98 / $16.98 / $79.43	Professional	26	$3.98	$16.98	$79.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $57.54 / $147.91	Professional	TC	$15.85	$57.54	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $85.11 / $87.10	Professional		$75.86	$85.11	$87.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $16.98 / $17.38	Professional	26	$15.14	$16.98	$17.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $69.18 / $69.18	Professional	TC	$60.26	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $54.95	Professional		$43.65	$43.65	$54.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $8.32 / $10.23	Professional	26	$8.32	$8.32	$10.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $35.48 / $43.65	Professional	TC	$35.48	$35.48	$43.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $25.12 / $45.71	Facility		$19.50	$25.12	$45.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $87.10 / $263.03	Professional		$44.67	$87.10	$263.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $16.22 / $144.54	Professional	26	$13.49	$16.22	$144.54
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $70.79 / $223.87	Professional	TC	$46.77	$70.79	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $64.57 / $89.13	Professional		$31.62	$64.57	$89.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $13.49 / $16.98	Professional	26	$7.24	$13.49	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $50.12 / $70.79	Professional	TC	$23.99	$50.12	$70.79