Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.98 / $127.30 / $915.44	Professional		$90.98	$127.30	$915.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.44 / $36.36 / $289.86	Professional	26	$26.44	$36.36	$289.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.41 / $93.50 / $625.58	Professional	TC	$63.41	$93.50	$625.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $101.89 / $114.62	Professional		$63.68	$101.89	$114.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.82 / $30.10 / $33.86	Professional	26	$18.82	$30.10	$33.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.87 / $71.78 / $80.76	Professional	TC	$44.87	$71.78	$80.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.50 / $126.03 / $213.29	Professional		$69.50	$126.03	$213.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.61 / $40.29 / $76.11	Professional	26	$19.61	$40.29	$76.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.49 / $71.78 / $146.19	Professional	TC	$41.49	$71.78	$146.19
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $271.50 / $271.50 / $271.50	Facility	26	$271.50	$271.50	$271.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $133.88 / $1,070.24	Professional		$80.33	$133.88	$1,070.24
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $24.79 / $43.16 / $390.67	Professional	26	$24.79	$43.16	$390.67
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $54.34 / $90.58 / $793.60	Professional	TC	$54.34	$90.58	$793.60
United Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $125.30 / $180.75	Professional		$80.33	$125.30	$180.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.70 / $38.95 / $56.28	Professional	26	$24.70	$38.95	$56.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.34 / $86.35 / $119.52	Professional	TC	$54.34	$86.35	$119.52