Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $82.36 / $84.42	Professional		$79.95	$82.36	$84.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.15 / $85.20 / $203.15	Professional	26	$62.15	$85.20	$203.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.80 / $18.04 / $27.48	Professional	TC	$17.80	$18.04	$27.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $116.79 / $149.47	Professional		$85.05	$116.79	$149.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.87 / $81.56 / $218.00	Professional		$55.87	$81.56	$218.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.22 / $50.74 / $143.35	Professional	26	$39.22	$50.74	$143.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.83 / $30.82 / $83.00	Professional	TC	$11.83	$30.82	$83.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $166.67 / $745.14	Professional		$70.59	$166.67	$745.14
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $52.52 / $136.43 / $538.00	Professional	26	$52.52	$136.43	$538.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $16.02 / $51.73 / $340.13	Professional	TC	$16.02	$51.73	$340.13
United Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $83.68 / $189.14	Professional		$70.59	$83.68	$189.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.57 / $84.89 / $145.88	Professional	26	$49.57	$84.89	$145.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.02 / $32.04 / $51.91	Professional	TC	$16.02	$32.04	$51.91