Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.75 / $243.65 / $514.12	Professional		$66.75	$243.65	$514.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.11 / $15.31 / $21.10	Professional	26	$15.11	$15.31	$21.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.64 / $52.34 / $68.92	Professional	TC	$51.64	$52.34	$68.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $91.70 / $125.92	Professional		$21.00	$91.70	$125.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $44.57 / $143.90	Professional		$35.29	$44.57	$143.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.41 / $13.13 / $44.00	Professional	26	$10.41	$13.13	$44.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.89 / $33.40 / $106.92	Professional	TC	$24.89	$33.40	$106.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.71 / $126.50 / $626.79	Professional		$55.71	$126.50	$626.79
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $34.65 / $171.71	Professional	26	$13.49	$34.65	$171.71
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $42.16 / $112.43 / $496.32	Professional	TC	$42.16	$112.43	$496.32
United Facility/Professional Professional Modifier Low / Median / High Price $43.12 / $81.86 / $149.91	Professional		$43.12	$81.86	$149.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.19 / $22.28 / $37.49	Professional	26	$13.19	$22.28	$37.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.16 / $59.58 / $113.13	Professional	TC	$42.16	$59.58	$113.13