Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $58.08 / $69.05	Professional		$48.18	$58.08	$69.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.69 / $21.31 / $25.96	Professional	26	$18.69	$21.31	$25.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.50 / $36.77 / $43.08	Professional	TC	$29.50	$36.77	$43.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.72 / $90.72 / $173.86	Professional		$90.72	$90.72	$173.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $73.29 / $133.46	Professional		$36.28	$73.29	$133.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.66 / $26.31 / $42.43	Professional	26	$13.66	$26.31	$42.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.59 / $46.97 / $84.49	Professional	TC	$24.59	$46.97	$84.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $76.50 / $438.19	Professional		$56.42	$76.50	$438.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.67 / $30.57 / $158.25	Professional	26	$16.67	$30.57	$158.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $28.37 / $52.01 / $279.94	Professional	TC	$28.37	$52.01	$279.94
United Facility/Professional Professional Modifier Low / Median / High Price $45.04 / $74.68 / $100.04	Professional		$45.04	$74.68	$100.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.67 / $27.52 / $38.61	Professional	26	$16.67	$27.52	$38.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.37 / $45.34 / $62.66	Professional	TC	$28.37	$45.34	$62.66