Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $109.15 / $226.03	Professional		$80.33	$109.15	$226.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.88 / $30.82 / $51.39	Professional	26	$24.88	$30.82	$51.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.45 / $78.33 / $174.65	Professional	TC	$55.45	$78.33	$174.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.51 / $277.33 / $282.95	Professional		$247.51	$277.33	$282.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.66 / $81.09 / $81.42	Professional	26	$72.66	$81.09	$81.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $174.84 / $195.91 / $201.87	Professional	TC	$174.84	$195.91	$201.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.25 / $144.25 / $180.31	Professional		$144.25	$144.25	$180.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.84 / $41.84 / $52.30	Professional	26	$41.84	$41.84	$52.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $102.41 / $102.41 / $128.02	Professional	TC	$102.41	$102.41	$128.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.16 / $239.47 / $1,210.67	Professional		$138.16	$239.47	$1,210.67
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $42.88 / $74.31 / $360.79	Professional	26	$42.88	$74.31	$360.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $95.28 / $165.15 / $914.18	Professional	TC	$95.28	$165.15	$914.18
United Facility/Professional Professional Modifier Low / Median / High Price $115.13 / $117.43 / $289.94	Professional		$115.13	$117.43	$289.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.44 / $74.31 / $77.97	Professional	26	$36.44	$74.31	$77.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.98 / $165.15 / $175.46	Professional	TC	$80.98	$165.15	$175.46