Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.95 / $65.68 / $111.83	Professional		$63.95	$65.68	$111.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.09 / $24.69 / $619.44	Professional	26	$21.09	$24.69	$619.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.25 / $44.58 / $1,915.28	Professional	TC	$39.25	$44.58	$1,915.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.53 / $280.73 / $288.87	Professional		$250.53	$280.73	$288.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.58 / $70.95 / $71.23	Professional	26	$63.58	$70.95	$71.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $186.95 / $209.48 / $217.92	Professional	TC	$186.95	$209.48	$217.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.43 / $146.43 / $183.04	Professional		$146.43	$146.43	$183.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.61 / $36.61 / $45.76	Professional	26	$36.61	$36.61	$45.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $109.82 / $109.82 / $137.28	Professional	TC	$109.82	$109.82	$137.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $113.03 / $195.92 / $750.04	Professional		$113.03	$195.92	$750.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $36.39 / $63.07 / $179.95	Professional	26	$36.39	$63.07	$179.95
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $76.64 / $132.85 / $570.15	Professional	TC	$76.64	$132.85	$570.15
United Facility/Professional Professional Modifier Low / Median / High Price $96.07 / $195.92 / $207.17	Professional		$96.07	$195.92	$207.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.93 / $63.07 / $66.12	Professional	26	$30.93	$63.07	$66.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.14 / $132.85 / $141.05	Professional	TC	$65.14	$132.85	$141.05