Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $50.71 / $145.81	Professional		$40.29	$50.71	$145.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.66 / $31.10 / $91.18	Professional	26	$27.66	$31.10	$91.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.63 / $19.60 / $54.62	Professional	TC	$12.63	$19.60	$54.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.40 / $140.22 / $141.63	Professional		$126.40	$140.22	$141.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.50 / $91.22 / $92.45	Professional	26	$82.50	$91.22	$92.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.90 / $48.99 / $49.19	Professional	TC	$43.90	$48.99	$49.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $91.52	Professional		$73.20	$73.20	$91.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.50 / $47.50 / $59.38	Professional	26	$47.50	$47.50	$59.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.71 / $25.71 / $32.14	Professional	TC	$25.71	$25.71	$32.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.29 / $120.10 / $353.10	Professional		$69.29	$120.10	$353.10
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $47.64 / $82.58 / $231.59	Professional	26	$47.64	$82.58	$231.59
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $21.65 / $39.15 / $121.51	Professional	TC	$21.65	$39.15	$121.51
United Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $120.02 / $126.76	Professional		$58.89	$120.02	$126.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.70 / $75.33 / $101.55	Professional	26	$39.70	$75.33	$101.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.39 / $39.99 / $55.30	Professional	TC	$18.39	$39.99	$55.30