Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $100.00	Professional		$47.86	$57.54	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $19.95 / $38.90	Professional	26	$16.98	$19.95	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $37.15 / $63.10	Professional	TC	$30.90	$37.15	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $70.79 / $134.90	Professional		$36.31	$70.79	$134.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $25.70 / $42.66	Professional	26	$13.80	$25.70	$42.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $44.67 / $85.11	Professional	TC	$22.39	$44.67	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $75.86 / $436.52	Professional		$44.67	$75.86	$436.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $28.18 / $158.49	Professional	26	$16.60	$28.18	$158.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $46.77 / $281.84	Professional	TC	$28.18	$46.77	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $72.44 / $104.71	Professional		$44.67	$72.44	$104.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $27.54 / $38.90	Professional	26	$16.60	$27.54	$38.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $45.71 / $66.07	Professional	TC	$28.18	$45.71	$66.07