Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.84 / $42.41 / $52.11	Professional		$34.84	$42.41	$52.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.96 / $28.31 / $58.18	Professional	26	$24.96	$28.31	$58.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.88 / $13.90 / $23.80	Professional	TC	$9.88	$13.90	$23.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.13 / $137.68 / $139.09	Professional		$124.13	$137.68	$139.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.36 / $74.33 / $75.48	Professional	26	$67.36	$74.33	$75.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.77 / $63.35 / $63.61	Professional	TC	$56.77	$63.35	$63.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.91 / $71.91 / $89.88	Professional		$71.91	$71.91	$89.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.79 / $38.79 / $48.48	Professional	26	$38.79	$38.79	$48.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $33.11 / $41.40	Professional	TC	$33.11	$33.11	$41.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.76 / $38.20 / $58.55	Facility		$31.76	$38.20	$58.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $121.59 / $342.09	Professional		$66.70	$121.59	$342.09
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $38.97 / $70.91 / $250.96	Professional	26	$38.97	$70.91	$250.96
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $27.72 / $50.68 / $250.96	Professional	TC	$27.72	$50.68	$250.96
United Facility/Professional Professional Modifier Low / Median / High Price $56.69 / $115.61 / $144.61	Professional		$56.69	$115.61	$144.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.47 / $67.56 / $70.91	Professional	26	$32.47	$67.56	$70.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.56 / $23.56 / $50.68	Professional	TC	$23.56	$23.56	$50.68