Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.42 / $53.35 / $65.87	Professional		$52.42	$53.35	$65.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.12 / $19.32 / $23.34	Professional	26	$18.12	$19.32	$23.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.09 / $35.22 / $42.52	Professional	TC	$33.09	$35.22	$42.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.11 / $167.08 / $171.47	Professional		$149.11	$167.08	$171.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.25 / $61.66 / $61.91	Professional	26	$55.25	$61.66	$61.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.86 / $105.16 / $109.80	Professional	TC	$93.86	$105.16	$109.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.72 / $86.72 / $108.41	Professional		$86.72	$86.72	$108.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.81 / $31.81 / $39.77	Professional	26	$31.81	$31.81	$39.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.91 / $54.91 / $68.64	Professional	TC	$54.91	$54.91	$68.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $159.74 / $438.19	Professional		$90.08	$159.74	$438.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $33.35 / $57.81 / $158.25	Professional	26	$33.35	$57.81	$158.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $56.73 / $102.64 / $279.94	Professional	TC	$56.73	$102.64	$279.94
United Facility/Professional Professional Modifier Low / Median / High Price $76.56 / $90.08 / $165.30	Professional		$76.56	$90.08	$165.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.35 / $60.51 / $60.51	Professional	26	$28.35	$60.51	$60.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.22 / $98.34 / $104.79	Professional	TC	$48.22	$98.34	$104.79