Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.65 / $76.41 / $90.02	Professional		$67.65	$76.41	$90.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.31 / $17.47 / $21.10	Professional	26	$15.31	$17.47	$21.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.34 / $58.94 / $68.92	Professional	TC	$52.34	$58.94	$68.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.21 / $123.65 / $123.65	Professional		$82.21	$123.65	$123.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.55 / $97.63 / $149.58	Professional		$44.55	$97.63	$149.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.37 / $28.82 / $44.00	Professional	26	$11.37	$28.82	$44.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.18 / $76.91 / $104.00	Professional	TC	$33.18	$76.91	$104.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.72 / $126.58 / $626.79	Professional		$83.72	$126.58	$626.79
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $22.20 / $31.92 / $171.71	Professional	26	$22.20	$31.92	$171.71
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $61.52 / $97.82 / $496.32	Professional	TC	$61.52	$97.82	$496.32
United Facility/Professional Professional Modifier Low / Median / High Price $59.11 / $94.97 / $129.74	Professional		$59.11	$94.97	$129.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.86 / $23.10 / $32.34	Professional	26	$13.86	$23.10	$32.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.25 / $74.16 / $98.05	Professional	TC	$45.25	$74.16	$98.05