Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.54 / $48.18 / $69.05	Professional		$47.54	$48.18	$69.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.44 / $19.25 / $164.90	Professional	26	$18.44	$19.25	$164.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.10 / $29.50 / $43.08	Professional	TC	$29.10	$29.50	$43.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $67.20 / $92.28	Professional		$25.55	$67.20	$92.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $38.78 / $110.14	Professional		$25.63	$38.78	$110.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.63 / $14.25 / $40.40	Professional	26	$9.63	$14.25	$40.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.00 / $24.53 / $69.73	Professional	TC	$16.00	$24.53	$69.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.43 / $82.58 / $438.19	Professional		$38.43	$82.58	$438.19
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $13.42 / $30.57 / $158.25	Professional	26	$13.42	$30.57	$158.25
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $25.01 / $52.01 / $279.94	Professional	TC	$25.01	$52.01	$279.94
United Facility/Professional Professional Modifier Low / Median / High Price $38.43 / $45.62 / $112.61	Professional		$38.43	$45.62	$112.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.42 / $21.20 / $44.98	Professional	26	$13.42	$21.20	$44.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.01 / $37.40 / $76.68	Professional	TC	$25.01	$37.40	$76.68