Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.12 / $106.22 / $258.08	Professional		$78.12	$106.22	$258.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.41 / $31.50 / $54.07	Professional	26	$24.41	$31.50	$54.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.71 / $74.23 / $204.02	Professional	TC	$53.71	$74.23	$204.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.87 / $206.00 / $206.00	Professional		$180.87	$206.00	$206.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $221.01 / $378.00	Professional		$52.89	$221.01	$378.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.50 / $69.66 / $114.00	Professional	26	$17.50	$69.66	$114.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.39 / $156.08 / $264.00	Professional	TC	$35.39	$156.08	$264.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.38 / $182.39 / $1,210.67	Professional		$109.38	$182.39	$1,210.67
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $34.68 / $53.59 / $360.79	Professional	26	$34.68	$53.59	$360.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $74.70 / $128.80 / $914.18	Professional	TC	$74.70	$128.80	$914.18
United Facility/Professional Professional Modifier Low / Median / High Price $69.08 / $115.13 / $227.90	Professional		$69.08	$115.13	$227.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.44 / $35.72 / $61.39	Professional	26	$21.44	$35.72	$61.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.57 / $79.40 / $166.51	Professional	TC	$48.57	$79.40	$166.51