Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $136.43 / $611.37	Professional		$93.33	$136.43	$611.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.19 / $38.52 / $163.82	Professional	26	$30.19	$38.52	$163.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.15 / $97.91 / $454.08	Professional	TC	$63.15	$97.91	$454.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.33 / $375.02 / $379.11	Professional		$338.33	$375.02	$379.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.10 / $103.05 / $104.32	Professional	26	$93.10	$103.05	$104.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $245.24 / $271.98 / $274.79	Professional	TC	$245.24	$271.98	$274.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.85 / $197.85 / $247.32	Professional		$197.85	$197.85	$247.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.60 / $53.60 / $67.00	Professional	26	$53.60	$53.60	$67.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.25 / $144.25 / $180.31	Professional	TC	$144.25	$144.25	$180.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.66 / $278.49 / $1,070.24	Professional		$160.66	$278.49	$1,070.24
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $51.97 / $90.08 / $390.67	Professional	26	$51.97	$90.08	$390.67
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $108.70 / $188.41 / $793.60	Professional	TC	$108.70	$188.41	$793.60
United Facility/Professional Professional Modifier Low / Median / High Price $136.57 / $278.49 / $294.36	Professional		$136.57	$278.49	$294.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.18 / $90.08 / $94.63	Professional	26	$44.18	$90.08	$94.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $92.39 / $188.41 / $289.48	Professional	TC	$92.39	$188.41	$289.48