Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.08 / $78.12 / $113.65	Professional		$77.08	$78.12	$113.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.08 / $34.21 / $205.70	Professional	26	$24.08	$34.21	$205.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.99 / $53.71 / $79.44	Professional	TC	$52.99	$53.71	$79.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $105.35 / $144.66	Professional		$32.90	$105.35	$144.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.01 / $136.16 / $359.94	Professional		$52.01	$136.16	$359.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.32 / $35.92 / $89.49	Professional	26	$17.32	$35.92	$89.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.03 / $100.25 / $264.00	Professional	TC	$34.03	$100.25	$264.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.08 / $165.56 / $1,210.67	Professional		$69.08	$165.56	$1,210.67
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $21.44 / $57.66 / $360.79	Professional	26	$21.44	$57.66	$360.79
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $47.64 / $119.94 / $914.18	Professional	TC	$47.64	$119.94	$914.18
United Facility/Professional Professional Modifier Low / Median / High Price $66.59 / $115.13 / $224.74	Professional		$66.59	$115.13	$224.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.44 / $39.29 / $76.03	Professional	26	$21.44	$39.29	$76.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.98 / $79.40 / $154.33	Professional	TC	$44.98	$79.40	$154.33