Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.47 / $90.73 / $144.84	Professional		$54.47	$90.73	$144.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.47 / $18.66 / $30.05	Professional	26	$12.47	$18.66	$30.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.00 / $69.97 / $114.80	Professional	TC	$42.00	$69.97	$114.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $58.25 / $65.53	Professional		$36.40	$58.25	$65.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.86 / $14.18 / $15.96	Professional	26	$8.86	$14.18	$15.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $44.06 / $49.57	Professional	TC	$27.54	$44.06	$49.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.35 / $60.28 / $112.56	Professional		$42.35	$60.28	$112.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.30 / $21.11 / $29.89	Professional	26	$10.30	$21.11	$29.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.25 / $38.18 / $84.28	Professional	TC	$23.25	$38.18	$84.28
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.88 / $96.64 / $626.79	Professional		$49.88	$96.64	$626.79
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.07 / $23.10 / $171.71	Professional	26	$13.07	$23.10	$171.71
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $38.69 / $71.63 / $496.32	Professional	TC	$38.69	$71.63	$496.32
United Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $59.11 / $117.57	Professional		$48.58	$59.11	$117.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.07 / $13.86 / $26.53	Professional	26	$13.07	$13.86	$26.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.10 / $45.25 / $91.04	Professional	TC	$35.10	$45.25	$91.04