Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.14 / $183.61 / $404.56	Facility		$101.14	$183.61	$404.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.63 / $63.39 / $164.70	Professional		$35.63	$63.39	$164.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.18 / $11.78 / $94.34	Professional	26	$9.18	$11.78	$94.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.29 / $59.59 / $124.51	Professional	TC	$30.29	$59.59	$124.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.88 / $108.56 / $108.96	Professional		$96.88	$108.56	$108.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.98 / $27.87 / $27.99	Professional	26	$24.98	$27.87	$27.99
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $71.91 / $80.56 / $81.09	Professional	TC	$71.91	$80.56	$81.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.78 / $55.78 / $69.73	Professional		$55.78	$55.78	$69.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.95 / $13.95 / $17.43	Professional	26	$13.95	$13.95	$17.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.84 / $41.84 / $52.30	Professional	TC	$41.84	$41.84	$52.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.78 / $32.78 / $54.00	Facility		$25.78	$32.78	$54.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.23 / $111.60 / $360.92	Professional		$50.23	$111.60	$360.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.83 / $26.91 / $116.84	Professional	26	$21.83	$26.91	$116.84
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $35.94 / $65.87 / $268.14	Professional	TC	$35.94	$65.87	$268.14
United Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $91.54 / $91.54	Professional		$42.70	$91.54	$91.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.15 / $24.77 / $25.67	Professional	26	$12.15	$24.77	$25.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.97 / $30.55 / $65.87	Professional	TC	$17.97	$30.55	$65.87