Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $100.00	Professional		$40.74	$57.54	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $22.91 / $165.96	Professional	26	$15.14	$22.91	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $36.31 / $63.10	Professional	TC	$25.70	$36.31	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $67.61 / $93.33	Professional		$25.70	$67.61	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.90 / $109.65	Professional		$25.70	$38.90	$109.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $22.39 / $42.66	Professional	26	$9.55	$22.39	$42.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $37.15 / $69.18	Professional	TC	$15.85	$37.15	$69.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $77.62 / $436.52	Professional		$38.02	$77.62	$436.52
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $27.54 / $158.49	Professional	26	$13.49	$27.54	$158.49
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $46.77 / $281.84	Professional	TC	$25.12	$46.77	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $58.88 / $123.03	Professional		$38.02	$58.88	$123.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $21.38 / $44.67	Professional	26	$13.49	$21.38	$44.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $37.15 / $75.86	Professional	TC	$25.12	$37.15	$75.86